KATHERINE LAURA ELLSWORTH
NPI 1164618781
Social Worker - Clinical in Greenville, SC

Q: What is Katherine Ellsworth's NPI number?

The NPI number for Katherine Ellsworth is 1164618781. It was assigned to this individual provider in the NPPES registry on September 18, 2007. The provider is also known as Katherine Wargo.

Q: What is Katherine Ellsworth's specialty?

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

Active since September 18, 2007PECOS EnrolledAccepts Medicare Assignment

10 PATEWOOD DR STE 130, GREENVILLE, SC 29615(864) 455-8988(864) 525-5555 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2025, Jun 10, 2021, Oct 6, 2020 (3 updates tracked since 2020).

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About Katherine Laura Ellsworth NPPES

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

KATHERINE LAURA ELLSWORTH (NPI 1164618781) is an individual clinical provider in Greenville, South Carolina, licensed in South Carolina (12036) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164618781

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHERINE LAURA ELLSWORTH

Location Address10 PATEWOOD DR STE 130Greenville, SC 29615-6317

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8614

Phone(864) 455-8988

Fax(864) 525-5555

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 18, 2007

Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1164618781 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 SC · 12036

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.

10 PATEWOOD DR STE 130, Greenville, SC 29615

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Other Names 1

Former Name (1)Katherine Wargo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Laura Ellsworth is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143582247

PECOS Enrollment IDI20180330000985

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.57 – $163.84

Typical copayment $0.00 (range $13.39 – $40.96)

Most-billed visit code NA

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CATHERINE HICKS ROBERTS LISW

Social Worker (Clinical)