Johanna Katherine Chevrier Ellis, LICSW, MSW is a
Social Worker - Clinical based in Vancouver, Washington. Johanna Katherine Chevrier Ellis is licensed to practice in Washington (license number LW61572473) and her current practice location is
9300 Ne Oak View Dr, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 567-2211.
NPI number for Johanna Katherine Chevrier Ellis is 1134771710 and her current mailing address is 4701 Ne 72nd Ave Apt T205, Vancouver, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134771710.
Healthcare Provider's Profile
| Full Name | Johanna Katherine Chevrier Ellis |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 9300 Ne Oak View Dr, Vancouver, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134771710
- Provider Enumeration Date: 07/12/2019
- Last Update Date: 01/07/2025
Medical Identifiers
Medical identifiers for Johanna Katherine Chevrier Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134771710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61572473 (Washington) | 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. Johanna Katherine Chevrier 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 |
|---|
Johanna Katherine Chevrier Ellis, LICSW, MSW
4701 Ne 72nd Ave Apt T205,
Vancouver, WA 98661-8182
Ph: (909) 380-4127 | Johanna Katherine Chevrier Ellis, LICSW, MSW
9300 Ne Oak View Dr,
Vancouver, WA 98662-6157
Ph: (360) 567-2211 |
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