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TINA RANAE ELLINGSWORTH LICSW
NPI 1255091799
Social Worker - Clinical in Yakima, WA

Active since December 24, 2021
402 E YAKIMA AVE STE 800, YAKIMA, WA 98901(509) 823-6656 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina Ranae Ellingsworth Licsw NPPES

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

TINA RANAE ELLINGSWORTH LICSW (NPI 1255091799) is an individual clinical provider in Yakima, Washington, licensed in Washington (LW61131937) and active in the NPI registry since December 2021. She maintains a secondary practice location in Yakima.

NPPES Registry Identity

NPI1255091799
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTINA RANAE ELLINGSWORTHCredential: LICSW
Location Address402 E YAKIMA AVE STE 800Yakima, WA 98901-5410
Mailing AddressPo Box 11208Yakima, WA 98909-2208 · (509) 594-6310
Phone(509) 823-6656
Sole ProprietorYes
Enumeration DateDecember 24, 2021
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1255091799 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 WA · LW61131937
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.
402 E YAKIMA AVE STE 800, Yakima, WA 98901
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Secondary Practice Location 1

Location 12605 Hollow Creek PlYakima, WA 98902-5044 · Phone (509) 823-6656

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.

LEO LOWE MENTAL HEALTH COUNSELING
Counselor (Mental Health)
402 E YAKIMA AVE STE 800
YAKIMA, WA 98901
Yakima County (509) 497-0869
SUMMIT SOLSTICE COUNSELING LLC
Counselor (Mental Health)
402 E YAKIMA AVE STE 800
YAKIMA, WA 98901
Yakima County (509) 941-7585
EAST MOUNTAIN COUNSELING LLC
Social Worker (Clinical)
402 E YAKIMA AVE STE 800
YAKIMA, WA 98901
Yakima County (509) 952-3319
SONDRA LYNN FULGHAM LICSW
Social Worker (Clinical)
402 E YAKIMA AVE STE 800
YAKIMA, WA 98901
Yakima County (509) 307-0972
LEO LOWE M.S.
Counselor (Mental Health)
402 E YAKIMA AVE STE 800
YAKIMA, WA 98901
Yakima County (509) 497-0869
DELIA COUNSELING SERVICES PLLC
Social Worker (Clinical)
402 E YAKIMA AVE STE 800
YAKIMA, WA 98901
Yakima County (509) 910-1172
CICERO COUNSELING AND FORENSIC EVALUATION LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
402 E YAKIMA AVE STE 800
YAKIMA, WA 98901
Yakima County (253) 831-3852
TAHNI RACHELLE HIGASHIYAMA MSW, LICSW
Social Worker (Clinical)
402 E YAKIMA AVE STE 800
YAKIMA, WA 98901
Yakima County (509) 952-3319

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 Tina Ellingsworth's NPI number?

The NPI number for Tina Ellingsworth is 1255091799. It was assigned to this individual provider in the NPPES registry on December 24, 2021.

Where is Tina Ellingsworth located?

Tina Ellingsworth practices at 402 E Yakima Ave Ste 800, Yakima, WA 98901. The listed phone number is (509) 823-6656.

What is Tina Ellingsworth'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 Tina Ellingsworth was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.