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NPI 1558972885ActiveOrganization· Social Worker, Clinical· Union, NJ

Social Worker, Clinical in Union, New Jersey, registered in NPPES in August 2020. The authorized official on file is Isheaba Ellis, LCSW, Owner.

Overview

NPI1558972885
StatusActive
Entity typeOrganization
NPI issuedAug 11, 2020
Last updated in NPPESAug 11, 2020
Certified by providerAug 11, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other clinical social workers in Union

All 52 clinical social workers in Union · All clinical social workers in New Jersey