Elias Ellis, is a
Social Worker - Clinical based in Sylmar, California. Elias Ellis is licensed to practice in California (license number 85301) and his current practice location is
14659 Olive View Dr, Sylmar, California. He can be reached at his office (for appointments etc.) via phone at
(818) 485-0888.
NPI number for Elias Ellis is 1417144767 and his current mailing address is 161 W Victoria St, Long Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417144767.
Healthcare Provider's Profile
| Full Name | Elias Ellis |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 14659 Olive View Dr, Sylmar, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417144767
- Provider Enumeration Date: 10/01/2007
- Last Update Date: 04/01/2021
Medical Identifiers
Medical identifiers for Elias Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417144767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 33763 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 85301 (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. Elias Ellis 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 |
|---|
Elias Ellis,
161 W Victoria St,
Long Beach, CA 90805-2175
Ph: (323) 242-5000 | Elias Ellis,
14659 Olive View Dr,
Sylmar, CA 91342-1652
Ph: (818) 485-0888 |
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