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MS. EBONY ELLIS
NPI 1053447714
Social Worker - Clinical in Oakland, CA

Active since February 26, 2007
2607 MYRTLE ST, OAKLAND, CA 94607(510) 835-1393(510) 835-1393 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2020, Nov 27, 2019 (2 updates tracked since 2019).

About Ms. Ebony Ellis NPPES

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

MS. EBONY ELLIS (NPI 1053447714) is an individual clinical provider in Oakland, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1053447714
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. EBONY ELLIS
Location Address2607 MYRTLE STOakland, CA 94607-3415
Mailing Address747 52nd StOakland, CA 94609-1809 · (510) 428-3000
Phone(510) 835-1393
Fax(510) 835-1393
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1053447714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2607 MYRTLE ST, Oakland, CA 94607
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Other Providers at the Same Location NPPES 7

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

ALTERNATIVES IN ACTION
Local Education Agency (LEA)
2607 MYRTLE ST
OAKLAND, CA 94607
Alameda County (510) 874-3787
BARBARA DEAN
Psychologist
2607 MYRTLE ST
OAKLAND, CA 94607
Alameda County (510) 879-2303
MS. ARTENESHA L JACKSON MSW, ASW
Social Worker (Clinical)
2607 MYRTLE ST
OAKLAND, CA 94607
Alameda County (510) 835-1393
OAKLAND UNIFIED SCHOOL DISTRICT
Local Education Agency (LEA)
2607 MYRTLE ST, MCCLYMONDS HIGH SCHOOL
OAKLAND, CA 94607
Alameda County (510) 238-8607
LINCOLN
Community/Behavioral Health
2607 MYRTLE ST
OAKLAND, CA 94607
Alameda County (510) 238-8607
SOUTHERN ALAMEDA COUNTY COMITE FOR RAZA MENTAL HEALTH
Community/Behavioral Health
2607 MYRTLE ST
OAKLAND, CA 94607
Alameda County (510) 881-5921
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
Clinic/Center (Student Health)
2607 MYRTLE ST
OAKLAND, CA 94607
Alameda County (510) 428-3885

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 Ebony Ellis's NPI number?

The NPI number for Ebony Ellis is 1053447714. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Ebony Ellis located?

Ebony Ellis practices at 2607 Myrtle St, Oakland, CA 94607. The listed phone number is (510) 835-1393.

What is Ebony 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 Ebony Ellis was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.