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

Individual provider Clinical Social Worker · NPI 1255091799

Tina Ranae Ellingsworth, LICSW is a Clinical Social Worker in Yakima, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

402 E Yakima Ave Ste 800
Yakima, WA 98901-5410
Phone: (509) 823-6656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2605 Hollow Creek Pl, Yakima, WA 98902-5044 — (509) 823-6656

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61131937 (WA)

Record details

NPI number1255091799
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 24, 2021
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022

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