Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. PETRONIA ELLIS LMSW
NPI 1184522708
Social Worker in Jackson, MS

Q: What is Petronia Ellis's NPI number?

The NPI number for Petronia Ellis is 1184522708. It was assigned to this individual provider in the NPPES registry on October 26, 2026.

Q: What is Petronia 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 Petronia Ellis was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 October 26, 2026

5860 FERNCREEK DR, JACKSON, MS 39211(601) 988-4388 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mrs. Petronia Ellis Lmsw NPPES

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

MRS. PETRONIA ELLIS LMSW (NPI 1184522708) is an individual social worker in Jackson, Mississippi, licensed in Illinois (150.115578) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1184522708

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. PETRONIA ELLISCredential: LMSW

Location Address5860 FERNCREEK DRJackson, MS 39211-3243

Mailing Address5860 Ferncreek DrJackson, MS 39211-3243 · (601) 988-4388

Phone(601) 988-4388

Sole ProprietorYes

Enumeration DateOctober 26, 2026

NPPES CertifiedOctober 26, 2026

✔ NPI 1184522708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in IL · 150.115578

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.

5860 FERNCREEK DR, Jackson, MS 39211

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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 Petronia Ellis's NPI number?

The NPI number for Petronia Ellis is 1184522708. It was assigned to this individual provider in the NPPES registry on October 26, 2026.

Where is Petronia Ellis located?

Petronia Ellis practices at 5860 Ferncreek Dr, Jackson, MS 39211. The listed phone number is (601) 988-4388.

What is Petronia Ellis's specialty?

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

When was this NPI record last updated?

The NPPES record for Petronia Ellis was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.