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

MS. Maureen Ellis, LICSW, LCSW

Individual provider Clinical Social Worker · NPI 1962746859

MS. Maureen Ellis, LICSW, LCSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2004, 22 years ago. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2012
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
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

4151 Thomas Ave N
Minneapolis, MN 55412
Phone: (818) 209-9885
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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 26144 (CA)

Record details

NPI number1962746859
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LCSW
Sole proprietorNo
NPI enumeratedNovember 16, 2012
Last updated in NPPESJune 8, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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