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

Individual provider Mental Health Counselor · NPI 1528141967

MS. Nancy Jean Ellery, LICSW is a Clinical Social Worker in Rutland, Vermont. Qualified in 1980, 46 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
46
Licensed in
VT
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

64 Allen St
Rutland, VT 05701-4554
Phone: (802) 747-7296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 089-0000259 (VT)

Record details

NPI number1528141967
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 21, 2006
Last updated in NPPESJune 15, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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