Beverly Ellison, MSW, LCSW 75361, CST is a
Social Worker - Clinical based in San Francisco, California. Beverly Ellison is licensed to practice in California (license number 75361) and her current practice location is
1485 Waller Street Apt 203, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 969-6886.
NPI number for Beverly Ellison is 1316344948 and her current mailing address is 584 Castro St # 2094, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316344948.
Healthcare Provider's Profile
| Full Name | Beverly Ellison |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1485 Waller Street Apt 203, San Francisco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316344948
- Provider Enumeration Date: 11/25/2014
- Last Update Date: 03/18/2024
Medical Identifiers
Medical identifiers for Beverly Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316344948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | 75361 (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 75361 (California) | 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. Beverly Ellison 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 |
|---|
Beverly Ellison, MSW, LCSW 75361, CST
584 Castro St # 2094,
San Francisco, CA 94114-2512
Ph: (415) 969-6886 | Beverly Ellison, MSW, LCSW 75361, CST
1485 Waller Street Apt 203,
San Francisco, CA 94117
Ph: (415) 969-6886 |
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