VICKIE R ELLIS LCSW
NPI 1104069061
Social Worker - Clinical in Ft. Meade, MD

Active since April 08, 2009
FORT GEORGE G. MEADE, MEDDAC HEADQUARTERS, 2480 LLEWELLYN AVE., STE 5800, FT. MEADE, MD 20755(301) 677-8798 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vickie R Ellis Lcsw NPPES

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

VICKIE R ELLIS LCSW (NPI 1104069061) is an individual clinical provider in Ft. Meade, Maryland, licensed in (0904007011) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1104069061
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVICKIE R ELLISCredential: LCSW
Location AddressFORT GEORGE G. MEADE, MEDDAC HEADQUARTERS, 2480 LLEWELLYN AVE., STE 5800Ft. Meade, MD 20755-5129
Mailing Address2480 Llewellyn Ave Ste 5800Fort Meade, MD 20755-5129 · (301) 677-8798
Sole ProprietorNo
Enumeration DateApril 8, 2009
Last NPPES UpdateJanuary 4, 2024
NPPES CertifiedJanuary 3, 2024
NPI 1104069061 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 · 0904007011
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.

FORT GEORGE G. MEADE, MEDDAC HEADQUARTERS, Ft. Meade, MD 20755

Other Identifiers 1

Medicaid49-45573VA

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 Vickie Ellis's NPI number?

The NPI number for Vickie Ellis is 1104069061. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Where is Vickie Ellis located?

Vickie Ellis practices at Fort George G. Meade, Meddac Headquarters 2480 Llewellyn Ave., Ste 5800, Ft. Meade, MD 20755. The listed phone number is (301) 677-8798.

What is Vickie 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 Vickie Ellis was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.