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

Marc R Ellison, LICSWA

Individual provider Clinical Social Worker · NPI 1891261855

Marc R Ellison, LICSWA is a Clinical Social Worker in Issaquah, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

414 Frnt ST N
Issaquah, WA 98027-2914
Phone: (425) 392-6367
Fax: (425) 391-4971
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SC60507250 (WA)

Record details

NPI number1891261855
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSWA
Sole proprietorNo
NPI enumeratedOctober 17, 2018
Last updated in NPPESDecember 5, 2018

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