| Stephanie Ellis, Licensed Clinical Social Worker, P.c. | |
|
30290 Buccaneer Bay Unit D Murrieta CA 92563-8812 | |
| (951) 246-6152 | |
| Not Available |
| Full Name | Stephanie Ellis, Licensed Clinical Social Worker, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30290 Buccaneer Bay Unit D, Murrieta, California |
| Authorized Official Name and Position | Dana D Ellis (BUSINESS MANAGER) |
| Authorized Official Contact | 9512466152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Ellis, Licensed Clinical Social Worker, P.c. 29910 Murrieta Hot Springs Rd Ste G304 Murrieta CA 92563-3814 Ph: (951) 246-6152 | Stephanie Ellis, Licensed Clinical Social Worker, P.c. 30290 Buccaneer Bay Unit D Murrieta CA 92563-8812 Ph: (951) 246-6152 |
| NPI Number | 1326630203 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 02/11/2021 |
| Certification Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326630203 | NPI | - | NPPES |
| 1730625294 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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