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

MS. Teresa Ellsworth, LCSW

Individual provider Clinical Social Worker · NPI 1366650954

MS. Teresa Ellsworth, LCSW is a Clinical Social Worker in Fort Sam Houston, Texas. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida, Michigan, South Carolina and Tennessee.

Years since qualifying
34
Licensed in
FL, MI, SC, TN
In the registry since
2007
Specialties on file
4
What do these letters mean?
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

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (726) 243-0017
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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 SW11351 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801066406 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 7780 (TN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 14528 (SC)

Record details

NPI number1366650954
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Sam Houston