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

Jacqueline Kirsten Ellis, LICSW

Individual provider Mental Health Counselor · NPI 1952060188

Jacqueline Kirsten Ellis, LICSW is a Mental Health Counselor in Landover, Maryland. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

721 Bain Dr Apt 211
Landover, MD 20785-5971
Phone: (202) 489-2858
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC50081444 (DC)

Record details

NPI number1952060188
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

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