Jamie Ellis, LCSW
NPI 1417353590ActiveIndividual· Social Worker· Nellis Afb, NV
Social Worker (LCSW) in Nellis Afb, Nevada, licensed in NV, AL and GA, with an NPI issued in November 2014. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1417353590 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Nov 17, 2014 |
| Last updated in NPPES | May 9, 2023 |
| Certified by provider | May 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 8320-C | NV |
| Social Worker, Clinical | 1041C0700X | 4057C | AL |
| Social Worker, Clinical | 1041C0700X | CSW005289 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NV) |
|---|
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