MR. CHARLES ELLIS LCSW-C
NPI 1215017009
Social Worker - Clinical in Riverside, CA
About Mr. Charles Ellis Lcsw-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CHARLES ELLIS LCSW-C (NPI 1215017009) is an individual clinical provider in Riverside, California, licensed in California (LCS 19143) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
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
Mr. Charles Ellis Lcsw-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
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 Charles Ellis's NPI number?
The NPI number for Charles Ellis is 1215017009. It was assigned to this individual provider in the NPPES registry on October 16, 2006.
Where is Charles Ellis located?
Charles Ellis practices at 4164 Brockton Ave, Riverside, CA 92501. The listed phone number is (951) 683-5193.
What is Charles Ellis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Charles Ellis enrolled in Medicare?
Yes. Charles Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Charles Ellis was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Mr. Charles Ellis, LCSW-C · NPI 1215017009
Clinical provider in Riverside, California. Individual provider, active in the CMS NPPES registry since October 16, 2006.
## Identity
- **NPI:** 1215017009 (Entity type: Individual)
- **Enumerated:** October 16, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCS 19143 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4164 BROCKTON AVE, Riverside, CA 92501-3400
- **Phone:** (951) 683-5193
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** October 9, 2024
- **Other identifiers:** Medicaid 1982975009 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1215017009) · Data from the CMS NPPES public registry.