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

Individual provider Clinical Social Worker · NPI 1457724841

Kimberly E Ellis, MSW, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

811 Central Ave Ste 8
Charlotte, NC 28204-2015
Phone: (484) 868-0226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 207 Berryfield Dr, Greensboro, NC 27410-9980 — (484) 868-0226

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C011215 (NC)

Record details

NPI number1457724841
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedNovember 5, 2015
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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