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

Jackson Ellis

Individual provider Clinical Social Worker · NPI 1285523241

Jackson Ellis is a Clinical Social Worker in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2025

Practice location Address checks out

502 Kennedy St NW Ste 2-A
Washington, DC 20011-3136
Phone: (802) 999-5792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (DC)

Record details

NPI number1285523241
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 2, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

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