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

Michele Ellis

Individual provider Social Worker · NPI 1205543782

Michele Ellis is a Social Worker in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

1765 S Ave
Staten Island, NY 10314-3604
Phone: (718) 761-9800
Fax: (718) 370-1142
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 118044 (NY)

Record details

NPI number1205543782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2022
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

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