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

Mrs. Michelle Ellsworth, LCSW

Individual provider Social Worker · NPI 1700245164

Mrs. Michelle Ellsworth, LCSW is a Clinical Social Worker in Roseburg, Oregon. Qualified in 2016, 10 years ago. Practices with Adapt, a 43-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
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

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 492-0158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 930 Olympic St, Kingsford, MI 49802-1229 — (906) 221-7837

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X

Record details

NPI number1700245164
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 14, 2016
Last updated in NPPESNovember 6, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Adapt — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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