Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deborah S Ellis, LICSW

Individual provider Clinical Social Worker · NPI 1740292390

Deborah S Ellis, LICSW is a Clinical Social Worker in North Kingstown, Rhode Island. Qualified in 1999, 27 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
27
Licensed in
RI
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1130 Ten Rod Rd Ste D-104
North Kingstown, RI 02852-4161
Phone: (401) 295-5575
Fax: (401) 295-5552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW01473 (RI)

Record details

NPI number1740292390
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 12, 2006
Last updated in NPPESApril 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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