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

Steven Mark Ellis Jr.

Individual provider Clinical Social Worker · NPI 1750219390

Steven Mark Ellis Jr. is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2026

Practice location Address checks out

5211 Hazel Ave
Philadelphia, PA 19143-1526
Phone: (215) 626-2929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW027309 (PA)

Record details

NPI number1750219390
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 13, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Philadelphia