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

Kelly A Ellis, LCSW

Individual provider Clinical Social Worker · NPI 1073548186

Kelly A Ellis, LCSW is a Clinical Social Worker in Palm Desert, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and Colorado.

Licensed in
CA, CO
In the registry since
2006
Specialties on file
2
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

39760 Black Mesa Ln
Palm Desert, CA 92260
Phone: (760) 832-4904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 42222 Rancho Las Palmas Dr #2805, Rancho Mirage, CA 92270 — (760) 832-4904

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.0992416 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCS 16686 (CA)

Record details

NPI number1073548186
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

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