RACHEL ELLIS LCSW, SAC-IT
NPI 1154068229
Social Worker in Madison, WI

Q: What is Rachel Ellis's NPI number?

The NPI number for Rachel Ellis is 1154068229. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Q: What is Rachel Ellis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Ellis was last updated on February 8, 2024. 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.

Active since May 19, 2022PECOS Enrolled

1015 GAMMON LN, MADISON, WI 53719(608) 417-8162 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, May 19, 2022 (2 updates tracked since 2022).

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About Rachel Ellis Lcsw, Sac-it NPPES

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

RACHEL ELLIS LCSW, SAC-IT (NPI 1154068229) is an individual social worker in Madison, Wisconsin, licensed in Wisconsin (11565-123) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1154068229

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameRACHEL ELLISCredential: LCSW, SAC-IT

Location Address1015 GAMMON LNMadison, WI 53719-2210

Mailing Address1015 Gammon LnMadison, WI 53719-2210 · (608) 417-8162

Phone(608) 417-8162

Sole ProprietorNo

Enumeration DateMay 19, 2022

Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2024

✔ NPI 1154068229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WI · 11565-123

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

1015 GAMMON LN, Madison, WI 53719

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Secondary Practice Location 1

Location 1700 Ray O Vac Dr Ste 114Madison, WI 53711-2468 · Phone (608) 598-9127

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Ellis Lcsw, Sac-it is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

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

SAMANTHA M ROGERS LCSW

Social Worker (Clinical)