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

Mr. John M. Ellis, LISW, LICDC

Individual provider Clinical Social Worker · NPI 1326063363

Mr. John M. Ellis, LISW, LICDC is a Clinical Social Worker in North Ridgeville, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

35888 Center Ridge Rd Ste 5
North Ridgeville, OH 44039-3086
Phone: (440) 327-1800
Fax: (440) 327-1533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I-0009904 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 923272 (OH)

Record details

NPI number1326063363
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW , LICDC
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESSeptember 11, 2025

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