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

Mazie Ellis, LCSWA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1003532052

Mazie Ellis, LCSWA is an Addiction (Substance Use Disorder) Counselor in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022
Specialties on file
2

Practice location Address checks out

3605 Camson Rd
Fayetteville, NC 28306-3743
Phone: (910) 391-4520
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 P018169 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-28501 (NC)

Record details

NPI number1003532052
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

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