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

Katherine Laura Ellsworth

Individual provider Clinical Social Worker · NPI 1164618781

Katherine Laura Ellsworth is a Clinical Social Worker in Greenville, South Carolina. Qualified in 2007, 19 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
19
Licensed in
SC
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

10 Patewood Dr Ste 130
Greenville, SC 29615-6317
Phone: (864) 455-8988
Fax: (864) 525-5555
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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 12036 (SC)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1164618781
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2007
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greenville