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

Individual provider Clinical Social Worker · NPI 1447378815

Mr. John Stephen Ellington, LCSW is a Clinical Social Worker in Modesto, California. Qualified in 1978, 48 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
48
Licensed in
CA
In the registry since
2007
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

803 Coffee Rd Ste 10
Modesto, CA 95355-4244
Phone: (209) 284-6369
Fax: (209) 720-0224
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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 LCS 8241 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8241 (CA)

Record details

NPI number1447378815
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESDecember 12, 2020
Certification dateDecember 12, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Modesto