Javious Ellis, MSW is a
Social Worker - Clinical based in Shelby, North Carolina. Javious Ellis is licensed to practice in North Carolina (license number P014922) and his current practice location is
809 N Lafayette St Ste A, Shelby, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 692-5062.
NPI number for Javious Ellis is 1821611518 and his current mailing address is 106 Enola Dr, Shelby, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821611518.
Healthcare Provider's Profile
Full Name | Javious Ellis |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 809 N Lafayette St Ste A, Shelby, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821611518
- Provider Enumeration Date: 05/28/2020
- Last Update Date: 01/27/2021
Medical Identifiers
Medical identifiers for Javious Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821611518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | P014922 (North Carolina) | 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. Javious 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 |
Javious Ellis, MSW 106 Enola Dr, Shelby, NC 28150-8122 Ph: (704) 692-5062 | Javious Ellis, MSW 809 N Lafayette St Ste A, Shelby, NC 28150-3886 Ph: (704) 692-5062 |
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