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

Mr. Kerry Ellis, LCSW-C

Individual provider Clinical Social Worker · NPI 1134631757

Mr. Kerry Ellis, LCSW-C is a Clinical Social Worker in Millersville, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2017

Practice location Address checks out

1111 Benfield Blvd Ste 104
Millersville, MD 21108-3003
Phone: (410) 714-2626
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 20829 (MD)

Record details

NPI number1134631757
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedNovember 5, 2017
Last updated in NPPESNovember 5, 2017

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