Ellie Rose Clancy, is a
Marriage & Family Therapist based in Los Angeles, California. Ellie Rose Clancy is licensed to practice in California (license number 146015) and her current practice location is
11303 W Washington Blvd Ste 200, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 482-3200.
NPI number for Ellie Rose Clancy is 1841025616 and her current mailing address is 825 S Hill St Apt 522, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841025616.
Healthcare Provider's Profile
Full Name | Ellie Rose Clancy |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 11303 W Washington Blvd Ste 200, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841025616
- Provider Enumeration Date: 09/03/2024
- Last Update Date: 09/03/2024
Medical Identifiers
Medical identifiers for Ellie Rose Clancy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841025616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TB0200X | Psychologist - Cognitive & Behavioral | 146015 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 146015 (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. Ellie Rose Clancy 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 |
Ellie Rose Clancy, 825 S Hill St Apt 522, Los Angeles, CA 90014-3198 Ph: (818) 205-6465 | Ellie Rose Clancy, 11303 W Washington Blvd Ste 200, Los Angeles, CA 90066-6003 Ph: (310) 482-3200 |
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