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

Jacqueline Ruth Ellsworth

Individual provider Mental Health Counselor · NPI 1366362204

Jacqueline Ruth Ellsworth is a Mental Health Counselor in Williamsport, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

435 W 4th St
Williamsport, PA 17701-6001
Phone: (570) 322-7873
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (PA)

Record details

NPI number1366362204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

Other providers in Williamsport