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

MS. Lesley Ann Ellis, LICSW

Individual provider Clinical Social Worker · NPI 1629292032

MS. Lesley Ann Ellis, LICSW is a Clinical Social Worker in Mitchellville, Maryland. Qualified in 1995, 31 years ago. Practices with Thrive Behavioral Health, LLC, a 59-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia.

Years since qualifying
31
Licensed in
DC
In the registry since
2007
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

12138 Central Ave #662
Mitchellville, MD 20721
Phone: (301) 336-3242
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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 LC50078627 (DC)

Record details

NPI number1629292032
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 13, 2007
Last updated in NPPESFebruary 3, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Thrive Behavioral Health, Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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