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

Mrs. Jennifer Ellis, LCSW

Individual provider Social Worker · NPI 1043631237

Mrs. Jennifer Ellis, LCSW is a Social Worker in Maryville, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
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

3 Oak Dr Ste B
Maryville, IL 62062-5635
Phone: (618) 972-1568
Fax: (618) 205-3561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 350 N Main St, Hoyleton, IL 62803-2006 — (618) 493-7382

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.026388 (IL)
Social Worker Taxonomy 104100000X

Record details

NPI number1043631237
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 15, 2013
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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