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

Stephanie Ann Ellis, LCSW

Individual provider Clinical Social Worker · NPI 1730625294

Stephanie Ann Ellis, LCSW is a Clinical Social Worker in Kathleen, Georgia. Licensed in California, Georgia and North Carolina. Registered with an NPI since 2017.

Licensed in
CA, GA, NC
In the registry since
2017
Specialties on file
3
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

108 Eastview Ave
Kathleen, GA 31047-2554
Phone: (919) 986-2112
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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 83676 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 009622 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence C009955 (NC)

Record details

NPI number1730625294
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 9, 2017
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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