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BRYAN ELLINGSON MSW, LICSW
NPI 1366041683
Social Worker - Clinical in Saint Paul, MN

Active since October 19, 2020
1821 UNIVERSITY AVE W # 306A, SAINT PAUL, MN 55104(612) 568-8670 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2020, Oct 19, 2020 (2 updates tracked since 2020).

About Bryan Ellingson Msw, Licsw NPPES

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

BRYAN ELLINGSON MSW, LICSW (NPI 1366041683) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (26505) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1366041683
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRYAN ELLINGSONCredential: MSW, LICSW
Location Address1821 UNIVERSITY AVE W # 306ASaint Paul, MN 55104-2801
Mailing Address1821 University Ave W # 306aSaint Paul, MN 55104-2801 · (612) 568-8670
Phone(612) 568-8670
Sole ProprietorYes
Enumeration DateOctober 19, 2020
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1366041683 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 MN · 26505
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.
1821 UNIVERSITY AVE W # 306A, Saint Paul, MN 55104
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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 Bryan Ellingson's NPI number?

The NPI number for Bryan Ellingson is 1366041683. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Where is Bryan Ellingson located?

Bryan Ellingson practices at 1821 University Ave W # 306A, Saint Paul, MN 55104. The listed phone number is (612) 568-8670.

What is Bryan Ellingson'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 Bryan Ellingson was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.