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

Jacqueline Ellis, LCSW-C

Individual provider Mental Health Counselor · NPI 1003574229

Jacqueline Ellis, LCSW-C is a Mental Health Counselor in Adamstown, Maryland. Licensed in Maryland and Virginia. Registered with an NPI since 2021.

Licensed in
MD, VA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

5144 Doubs Rd
Adamstown, MD 21710-8919
Phone: (240) 397-4356
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 28071 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence 28071 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904017476 (VA)

Record details

NPI number1003574229
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedDecember 5, 2021
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

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