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

Misty Robinson Ellis

Individual provider Clinical Social Worker · NPI 1669212890

Misty Robinson Ellis is a Clinical Social Worker in Clemmons, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024

Practice location Address checks out

2554 Lewisville Clemmons Rd Ste 112
Clemmons, NC 27012-9927
Phone: (336) 283-2510
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 P020742 (NC)

Record details

NPI number1669212890
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 27, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing addressPo Box 14121, Augusta, GA 30919-0121

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