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JENNIFER LYN ELLIS LCSW
NPI 1326539602
Social Worker - Clinical in Bridgeport, CT

Active since May 23, 2018
743 SOUTH AVE, BRIDGEPORT, CT 06604(203) 330-6000(203) 382-1435 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Lyn Ellis Lcsw NPPES

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

JENNIFER LYN ELLIS LCSW (NPI 1326539602) is an individual clinical provider in Bridgeport, Connecticut, licensed in Connecticut (007975) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1326539602
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER LYN ELLISCredential: LCSW
Location Address743 SOUTH AVEBridgeport, CT 06604-5810
Mailing Address743 South AveBridgeport, CT 06604-5810 · (203) 330-6000
Phone(203) 330-6000
Fax(203) 382-1435
Sole ProprietorNo
Enumeration DateMay 23, 2018
✔ NPI 1326539602 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 CT · 007975
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.
743 SOUTH AVE, Bridgeport, CT 06604
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Other Providers at the Same Location NPPES 3

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

CYNTHIA MARTINEZ LMSW
Social Worker
743 SOUTH AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 330-6010
STEPHANIE LOEB BEILINSON LPC
Counselor (Professional)
743 SOUTH AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 332-3154
LESLE SPAIN
Nurse Practitioner (Family)
743 SOUTH AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 330-6000

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 Jennifer Ellis's NPI number?

The NPI number for Jennifer Ellis is 1326539602. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Jennifer Ellis located?

Jennifer Ellis practices at 743 South Ave, Bridgeport, CT 06604. The listed phone number is (203) 330-6000.

What is Jennifer 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 Jennifer Ellis was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.