Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Ellis, LCSW, PMH-C

Individual provider Clinical Social Worker · NPI 1285509869

Jennifer Ellis, LCSW, PMH-C is a Clinical Social Worker in Maplewood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

98 Burnett Ave Apt 2C
Maplewood, NJ 07040-3159
Phone: (973) 519-1247
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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 44SC05674400 (NJ)

Record details

NPI number1285509869
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PMH-C
Sole proprietorYes
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

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