Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellen Bovarnick, MBA, MHP, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1770951287

Ellen Bovarnick, MBA, MHP, MSW, LICSW is a Clinical Social Worker in Redmond, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.
MSW — Master of Social Work
The graduate degree in social work.
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

24445 NE Vine Maple Way
Redmond, WA 98053-5677
Phone: (206) 291-4773
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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 00006514 (WA)

Record details

NPI number1770951287
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBA , MHP , MSW , LICSW
Sole proprietorYes
NPI enumeratedSeptember 14, 2015
Last updated in NPPESSeptember 14, 2015

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