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

Tara Ellis, LCSW

Individual provider Clinical Social Worker · NPI 1861719643

Tara Ellis, LCSW is a Clinical Social Worker in Middletown, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.

Licensed in
CT
In the registry since
2010
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

675 Main St
Middletown, CT 06457-2718
Phone: (890) 347-6971
Fax: (860) 343-7379
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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 007912 (CT)

Record details

NPI number1861719643
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 3, 2010
Last updated in NPPESMarch 16, 2015
Mailing address575 Main St 2nd Floor, Attn: Credentialing Dpt, Middletown, CT 06457-2718

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