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

Shannon Marie Ellis

Individual provider Social Worker · NPI 1215638622

Shannon Marie Ellis is a Clinical Social Worker in Indianapolis, Indiana. Qualified in 2018, 8 years ago. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2023
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Practice location Address checks out

2814 Amherst St
Indianapolis, IN 46268-1266
Phone: (317) 914-3408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 33009349A (IN)

Record details

NPI number1215638622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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