Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ilene Linda Bloom-Ellis, MSW, LCSW, ACSW

Individual provider Clinical Social Worker · NPI 1154998086

Ilene Linda Bloom-Ellis, MSW, LCSW, ACSW is a Clinical Social Worker in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

6815 Leona St
Saint Louis, MO 63116-2833
Phone: (314) 703-0062
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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 004460 (MO)

Record details

NPI number1154998086
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , ACSW
Sole proprietorYes
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

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