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

Miriam Bradshaw Ellis, LCSW

Individual provider Social Worker · NPI 1730750704

Miriam Bradshaw Ellis, LCSW is a Clinical Social Worker in Ukiah, California. Qualified in 2019, 7 years ago. Practices with Ukiah Adventist Hospital, a 135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2021
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

260 Hospital Dr Ste 204
Ukiah, CA 95482-4568
Phone: (707) 463-7428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 Marlene St Apt 2, Ukiah, CA 95482-5987 — (707) 621-1306

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 112074 (CA)
Social Worker Taxonomy 104100000X · Licence 94031

Record details

NPI number1730750704
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 9, 2021
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ukiah Adventist Hospital — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Ukiah