Kelly A. Ellis
NPI 1053793216ActiveOrganization· Social Worker, Clinical· Palm Desert, CA
Social Worker, Clinical in Palm Desert, California, registered in NPPES in June 2015. The authorized official on file is Kelly A. Ellis, LCSW, Owner.
Overview
| NPI | 1053793216 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2015 |
| Last updated in NPPES | Aug 1, 2023 |
| Certified by provider | Aug 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 16686 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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