Michelle Ellingham, is a
Social Worker - Clinical based in Autin, Texas. Michelle Ellingham is licensed to practice in Texas (license number 61393) and her current practice location is
4425 S Mopac Expy, Suite 503, Autin, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 270-1513.
NPI number for Michelle Ellingham is 1225523988 and her current mailing address is 2823 E Martin Luther King Jr Blvd Apt 1219, Austin, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225523988.
Healthcare Provider's Profile
Full Name | Michelle Ellingham |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4425 S Mopac Expy, Autin, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225523988
- Provider Enumeration Date: 06/26/2018
- Last Update Date: 06/26/2018
Medical Identifiers
Medical identifiers for Michelle Ellingham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225523988 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 61393 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Ellingham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle Ellingham, 2823 E Martin Luther King Jr Blvd Apt 1219, Austin, TX 78702-0030 Ph: (512) 964-3477 | Michelle Ellingham, 4425 S Mopac Expy, Suite 503, Autin, TX 78735 Ph: (512) 270-1513 |
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