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

Tamara Reneise Ellis, LLBSW

Individual provider Social Worker · NPI 1265053557

Tamara Reneise Ellis, LLBSW is a Social Worker in Southgate, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone: (734) 324-8326
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1265053557
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLBSW
Sole proprietorNo
NPI enumeratedApril 28, 2020
Last updated in NPPESApril 28, 2020
Certification dateApril 28, 2020

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