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

MS. Elizabeth Dawn Ellis, LICSW

Individual provider Clinical Social Worker · NPI 1396772042

MS. Elizabeth Dawn Ellis, LICSW is a Clinical Social Worker in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
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

750 Washington St Box 790
Boston, MA 02111-1526
Phone: (617) 636-9222
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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 (MA)

Record details

NPI number1396772042
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 8, 2007

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