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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JACQUELINE RUTH ELLSWORTH
NPI 1366362204
Counselor - Mental Health in Williamsport, PA

Active since July 20, 2026
435 W 4TH ST, WILLIAMSPORT, PA 17701(570) 322-7873 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Ruth Ellsworth NPPES

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

JACQUELINE RUTH ELLSWORTH (NPI 1366362204) is an individual mental health provider in Williamsport, Pennsylvania and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1366362204
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE RUTH ELLSWORTH
Location Address435 W 4TH STWilliamsport, PA 17701-6001
Mailing Address1311 Spruce StMontoursville, PA 17754-2115 · (518) 307-7549
Phone(570) 322-7873
Sole ProprietorYes
Enumeration DateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
✔ NPI 1366362204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
435 W 4TH ST, Williamsport, PA 17701
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Other Providers at the Same Location NPPES 20

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

TANYA LEIGH STARR
Counselor (Mental Health)
435 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-7873
MICHAEL NAPP
Counselor (Mental Health)
435 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 327-4913
MS. TONYA RENE ANDERSON CMHC
Counselor (Mental Health)
435 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-7873
LISA MARIE D'ADDIO M.S.
Psychologist
435 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-7873
CHRISTOPHER A. MOSER L.S.W.
Social Worker
435 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-7873
LAUREL LEA SPENCER MSW
Social Worker (Clinical)
435 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-7873
JESSICA JACKSON MS
Counselor (Mental Health)
435 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 722-7873
DESTINY MAST BS
Counselor (Mental Health)
435 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-7873

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 Jacqueline Ellsworth's NPI number?

The NPI number for Jacqueline Ellsworth is 1366362204. It was assigned to this individual provider in the NPPES registry on July 20, 2026.

Where is Jacqueline Ellsworth located?

Jacqueline Ellsworth practices at 435 W 4th St, Williamsport, PA 17701. The listed phone number is (570) 322-7873.

What is Jacqueline Ellsworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacqueline Ellsworth was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.