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

Nicole Ellis, LCSW

Individual provider Clinical Social Worker · NPI 1548893845

Nicole Ellis, LCSW is a Clinical Social Worker in Tempe, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020
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

2120 S McClintock Dr Ste 105
Tempe, AZ 85282-2692
Phone: (480) 804-0326
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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 LCSW-17126 (AZ)

Record details

NPI number1548893845
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 15, 2020
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022

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