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

Jaclynn E Ellis, LISW-S

Individual provider Clinical Social Worker · NPI 1174107270

Jaclynn E Ellis, LISW-S is a Clinical Social Worker in Youngstown, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone: (330) 797-0070
Fax: (330) 797-9146
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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 I.2304667-SUPV (OH)

Record details

NPI number1174107270
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address527 N Meridian Rd, Youngstown, OH 44509-1227

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