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

Desti A. Ellis, LCSW, CAS

Individual provider Clinical Social Worker · NPI 1336589290

Desti A. Ellis, LCSW, CAS is a Clinical Social Worker in Modesto, California. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

500 N 9th St Ste C
Modesto, CA 95350-5814
Phone: (209) 558-4420
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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

Record details

NPI number1336589290
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CAS
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESJanuary 26, 2018

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