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CARLY M. ELLIS LICSW
NPI 1205317062
Social Worker - Clinical in Boston, MA

Active since August 28, 2018
1 BOSTON MEDICAL CTR PL DEPT OF, BOSTON, MA 02118(617) 414-5245(617) 414-5520 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2023, May 17, 2022, Aug 28, 2018 (3 updates tracked since 2018).

About Carly M. Ellis Licsw NPPES

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

CARLY M. ELLIS LICSW (NPI 1205317062) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (121103) and active in the NPI registry since August 2018. She maintains a secondary practice location in Somerville.

NPPES Registry Identity

NPI1205317062
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLY M. ELLISCredential: LICSW
Location Address1 BOSTON MEDICAL CTR PL DEPT OFBoston, MA 02118-2908
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118
Phone(617) 414-5245
Fax(617) 414-5520
Sole ProprietorNo
Enumeration DateAugust 28, 2018
Last NPPES UpdateDecember 15, 20233 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
✔ NPI 1205317062 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 MA · 121103
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.
1 BOSTON MEDICAL CTR PL DEPT OF, Boston, MA 02118
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Secondary Practice Location 1

Location 161 Medford StSomerville, MA 02143-3421 · Phone (617) 628-2601 ext. 3060

Other Identifiers 1

Medicaid110143598AMA

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
21 services11 patients

Other Providers at the Same Location NPPES 9

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

MARYORI CARMONA CRNA
Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CTR PL DEPT OF, DEPARTMENT OF ANESTHESIA
BOSTON, MA 02118
Suffolk County (617) 638-6950
ELIZA TOWNSEND FIRN MD
Pediatrics (Pediatric Critical Care Medicine)
1 BOSTON MEDICAL CTR PL DEPT OF
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. BRITTANY M GOUSE MD MPH
Psychiatry & Neurology (Psychiatry)
1 BOSTON MEDICAL CTR PL DEPT OF
BOSTON, MA 02118
Suffolk County (617) 414-5245
MAGGIE ELIZABETH MCGEAN
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL DEPT OF
BOSTON, MA 02118
Suffolk County (617) 638-8000
SARAH B. PERLMAN LICSW
Social Worker (Clinical)
1 BOSTON MEDICAL CTR PL DEPT OF
BOSTON, MA 02118
Suffolk County (617) 414-5245
RACHEL C. DAWS LICSW
Social Worker (Clinical)
1 BOSTON MEDICAL CTR PL DEPT OF
BOSTON, MA 02118
Suffolk County (617) 414-5245
LIAM PATRICK MAHONEY
Emergency Medicine
1 BOSTON MEDICAL CTR PL DEPT OF, DOWLING 1 SOUTH ROOM 1322
BOSTON, MA 02118
Suffolk County (617) 414-4929
YVETTE LEBLANC M.S., LMHC
Counselor (Mental Health)
1 BOSTON MEDICAL CTR PL DEPT OF
BOSTON, MA 02118
Suffolk County (617) 414-5245

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 Carly Ellis's NPI number?

The NPI number for Carly Ellis is 1205317062. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Carly Ellis located?

Carly Ellis practices at 1 Boston Medical Ctr Pl Dept Of, Boston, MA 02118. The listed phone number is (617) 414-5245.

What is Carly 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 Carly Ellis was last updated on December 15, 2023. 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.