Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Todd W Ellison, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1588961197

Mr. Todd W Ellison, MSW, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
20
Licensed in
RI
In the registry since
2011
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

430 Academy Ave
Providence, RI 02908-4100
Phone: (401) 865-6019
Fax: (401) 865-6019
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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 02033 (RI)

Record details

NPI number1588961197
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedFebruary 16, 2011
Last updated in NPPESSeptember 7, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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