| Annaliese Dianna Ellsworth, LCSW, MSW | |
|
550 Nw 3rd Ave Ste Bandc, Canby, OR 97013 | |
| (503) 342-2510 | |
| (503) 406-2637 |
| Full Name | Annaliese Dianna Ellsworth |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 550 Nw 3rd Ave Ste Bandc, Canby, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164838116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L7267 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Annaliese Dianna Ellsworth, LCSW, MSW 7100 Sw Hampton St Ste 128&129, Tigard, OR 97223-8315 Ph: (503) 342-2510 | Annaliese Dianna Ellsworth, LCSW, MSW 550 Nw 3rd Ave Ste Bandc, Canby, OR 97013 Ph: (503) 342-2510 |
Trevor Lockwood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 Sw 4th Ave, Canby, OR 97013 Phone: 503-263-7219 Fax: 503-263-7213 | |
Alison Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11303 S Mulino Rd, Canby, OR 97013 Phone: 541-404-5577 | |
Brittany Kleinschnitz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531 |