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KIMBERLY TONINE ELLIS LCSW
NPI 1306353818
Social Worker - Clinical in Port Saint Lucie, FL

Active since January 05, 2018PECOS Enrolled
14166 SW SOLANGE ST, PORT SAINT LUCIE, FL 34987(845) 798-2002 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Tonine Ellis Lcsw NPPES

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

KIMBERLY TONINE ELLIS LCSW (NPI 1306353818) is an individual clinical provider in Port Saint Lucie, Florida, licensed in Florida (SW26332) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306353818
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY TONINE ELLISCredential: LCSW
Location Address14166 SW SOLANGE STPort Saint Lucie, FL 34987-5843
Mailing Address14166 Sw Solange StPort Saint Lucie, FL 34987-5843 · (845) 798-2002
Phone(845) 798-2002
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 5, 2018
Last NPPES UpdateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1306353818 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 FL · SW26332
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.
14166 SW SOLANGE ST, Port Saint Lucie, FL 34987
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Tonine Ellis Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42788051
PECOS Enrollment IDI20260507003915
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34987 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kimberly Ellis's NPI number?

The NPI number for Kimberly Ellis is 1306353818. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Where is Kimberly Ellis located?

Kimberly Ellis practices at 14166 SW Solange St, Port Saint Lucie, FL 34987. The listed phone number is (845) 798-2002.

What is Kimberly Ellis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kimberly Ellis enrolled in Medicare?

Yes. Kimberly Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Ellis was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.