LACEY MICHELLE ELLSWORTH M.S., CCC-SLP
NPI 1164940508
Speech-Language Pathologist in San Diego, CA

Q: What is Lacey Ellsworth's NPI number?

The NPI number for Lacey Ellsworth is 1164940508. It was assigned to this individual provider in the NPPES registry on September 6, 2017.

Q: What is Lacey Ellsworth's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Ellsworth was last updated on September 6, 2017. 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.

Active since September 06, 2017

9620 CHESAPEAKE DR STE 103, SAN DIEGO, CA 92123(559) 707-0821 Get Directions Write a Review

NPPES record last updated: September 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lacey Michelle Ellsworth M.s., Ccc-slp NPPES

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

LACEY MICHELLE ELLSWORTH M.S., CCC-SLP (NPI 1164940508) is an individual speech-language pathologist provider in San Diego, California, licensed in California (24933) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1164940508

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameLACEY MICHELLE ELLSWORTHCredential: M.S., CCC-SLP

Location Address9620 CHESAPEAKE DR STE 103San Diego, CA 92123-1324

Mailing Address321 10th Ave Unit 1302San Diego, CA 92101-7484

Phone(559) 707-0821

Sole ProprietorYes

Enumeration DateSeptember 6, 2017

✔ NPI 1164940508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 24933

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

9620 CHESAPEAKE DR STE 103, San Diego, CA 92123

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Other Providers at the Same Location NPPES 11

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

EMILY FLANNIGAN MS, CCC-SLP

Speech-Language Pathologist