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LAWRENCE A. ELLSWORTH, LCSW, PLLC
NPI 1023539285
Social Worker - Clinical in Raleigh, NC

Active since June 28, 2017
8520 SIX FORKS RD STE 104, RALEIGH, NC 27615(919) 815-4984 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jun 28, 2017 (2 updates tracked since 2017).

About Lawrence A. Ellsworth, Lcsw, Pllc NPPES

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

LAWRENCE A. ELLSWORTH, LCSW, PLLC (NPI 1023539285) is a healthcare organization registered as a clinical in Raleigh, North Carolina and active in the NPI registry since June 2017. The organization maintains a secondary practice location in Garner and lists Lawrence A. Ellsworth, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1023539285
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLAWRENCE A. ELLSWORTH, LCSW, PLLC
Location Address8520 SIX FORKS RD STE 104Raleigh, NC 27615-3096
Mailing Address5104 Bridget DrRaleigh, NC 27603-9332 · (919) 815-4984
Phone(919) 815-4984
Organization SubpartNo
Authorized OfficialLawrence A. EllsworthLicensed Clinical Social Worker · (919) 815-4984
Enumeration DateJune 28, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1023539285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C001070
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.
8520 SIX FORKS RD STE 104, Raleigh, NC 27615
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Secondary Practice Location 1

Location 169 Shipwash DrGarner, NC 27529-6860 · Phone (919) 815-4984

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lawrence A. Ellsworth, Lcsw, PLLC's NPI number?

The NPI number for Lawrence A. Ellsworth, Lcsw, PLLC is 1023539285. It was assigned to this organization in the NPPES registry on June 28, 2017.

Where is Lawrence A. Ellsworth, Lcsw, PLLC located?

Lawrence A. Ellsworth, Lcsw, PLLC is located at 8520 Six Forks Rd Ste 104, Raleigh, NC 27615. The listed phone number is (919) 815-4984.

What is Lawrence A. Ellsworth, Lcsw, PLLC'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 Lawrence A. Ellsworth, Lcsw, PLLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.