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MAZIE ELLIS LCSWA
NPI 1003532052
Social Worker - Clinical in Fayetteville, NC

Active since October 12, 2022
3605 CAMSON RD, FAYETTEVILLE, NC 28306(910) 391-4520 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Oct 4, 2023, Oct 12, 2022 (3 updates tracked since 2022).

About Mazie Ellis Lcswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAZIE ELLIS LCSWA (NPI 1003532052) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P018169) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1003532052
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAZIE ELLISCredential: LCSWA
Location Address3605 CAMSON RDFayetteville, NC 28306-3743
Mailing Address3605 Camson RdFayetteville, NC 28306-3743 · (910) 391-4520
Phone(910) 391-4520
Sole ProprietorYes
Enumeration DateOctober 12, 2022
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1003532052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P018169
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-28501 (NC)
3605 CAMSON RD, Fayetteville, NC 28306
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLIS COUNSELING SERVICES PLLC
Social Worker (Clinical)
3605 CAMSON RD
FAYETTEVILLE, NC 28306
Cumberland County (910) 391-4520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mazie Ellis's NPI number?

The NPI number for Mazie Ellis is 1003532052. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Mazie Ellis located?

Mazie Ellis practices at 3605 Camson Rd, Fayetteville, NC 28306. The listed phone number is (910) 391-4520.

What is Mazie Ellis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mazie Ellis was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.