MRS. JACKLYN ELIZABETH ELLISON MSW, CADC, PLCSW
NPI 1285823278
Counselor - Professional in Hannibal, MO

Active since October 16, 2007
4355 PARIS GRAVEL RD, HANNIBAL, MO 63401(573) 248-3811(573) 248-3080 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jacklyn Elizabeth Ellison Msw, Cadc, Plcsw NPPES

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

MRS. JACKLYN ELIZABETH ELLISON MSW, CADC, PLCSW (NPI 1285823278) is an individual professional provider in Hannibal, Missouri, licensed in Missouri (2006021234) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1285823278
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JACKLYN ELIZABETH ELLISONCredential: MSW, CADC, PLCSW
Location Address4355 PARIS GRAVEL RDHannibal, MO 63401-6017
Mailing Address900 E Laharpe StKirksville, MO 63501-4520 · (660) 665-1962 · Fax (660) 665-3989
Fax(573) 248-3080
Sole ProprietorYes
Enumeration DateOctober 16, 2007
Last NPPES UpdateNovember 5, 2007
NPI 1285823278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2006021234
4355 PARIS GRAVEL RD, Hannibal, MO 63401

Other Providers at the Same Location NPPES 17

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

Licensed Practical Nurse
4355 PARIS GRAVEL RD
HANNIBAL, MO 63401
Licensed Practical Nurse
4355 PARIS GRAVEL RD
HANNIBAL, MO 63401
Licensed Practical Nurse
4355 PARIS GRAVEL RD
HANNIBAL, MO 63401
Registered Nurse
4355 PARIS GRAVEL RD
HANNIBAL, MO 63401
Social Worker (Clinical)
4355 PARIS GRAVEL RD
HANNIBAL, MO 63401
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
4355 PARIS GRAVEL RD
HANNIBAL, MO 63401
Licensed Practical Nurse
4355 PARIS GRAVEL RD
HANNIBAL, MO 63401
Licensed Practical Nurse
4355 PARIS GRAVEL RD
HANNIBAL, MO 63401

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 Jacklyn Ellison's NPI number?

The NPI number for Jacklyn Ellison is 1285823278. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Jacklyn Ellison located?

Jacklyn Ellison practices at 4355 Paris Gravel Rd, Hannibal, MO 63401. The listed phone number is (573) 248-3811.

What is Jacklyn Ellison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jacklyn Ellison was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.