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

Individual provider Clinical Social Worker · NPI 1982091690

Diane Carol Ellis, LCSW is a Clinical Social Worker in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2015
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

5527 W Marconi Ave
Glendale, AZ 85306-2402
Phone: (602) 329-7938
Fax: (602) 307-5021
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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 LCSW-2855 (AZ)

Record details

NPI number1982091690
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESApril 20, 2015

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