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

MS. Kathryn Olivia Ellis

Individual provider Clinical Social Worker · NPI 1013885987

MS. Kathryn Olivia Ellis is a Clinical Social Worker in Richmond, Virginia. Qualified in 2023, 3 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2025
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Practice location Address checks out

6800 Paragon Pl Ste 237
Richmond, VA 23230-1651
Phone: (804) 562-9997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6800 Paragon Pl Ste 200, Richmond, VA 23230-1652 — (804) 562-9997

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904019532 (VA)

Record details

NPI number1013885987
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 23, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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