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MRS. JACQUELYN L ELLIS LCSW
NPI 1376879155
Social Worker - Clinical in North Las Vegas, NV

Active since October 28, 2009PECOS Enrolled
3122 ANCHORMAN WAY, NORTH LAS VEGAS, NV 89031(702) 651-0911 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jacquelyn L Ellis Lcsw NPPES

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

MRS. JACQUELYN L ELLIS LCSW (NPI 1376879155) is an individual clinical provider in North Las Vegas, Nevada, licensed in Nevada (2440-C) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376879155
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JACQUELYN L ELLISCredential: LCSW
Location Address3122 ANCHORMAN WAYNorth Las Vegas, NV 89031-0558
Mailing Address3122 Anchorman WayNorth Las Vegas, NV 89031-0558 · (702) 651-0911
Phone(702) 651-0911
Sole ProprietorYes
Enumeration DateOctober 28, 2009
Last NPPES UpdateDecember 11, 2018
✔ NPI 1376879155 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 NV · 2440-C
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.
3122 ANCHORMAN WAY, North Las Vegas, NV 89031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacquelyn L Ellis Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 89031 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 $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 Jacquelyn Ellis's NPI number?

The NPI number for Jacquelyn Ellis is 1376879155. It was assigned to this individual provider in the NPPES registry on October 28, 2009.

Where is Jacquelyn Ellis located?

Jacquelyn Ellis practices at 3122 Anchorman Way, North Las Vegas, NV 89031. The listed phone number is (702) 651-0911.

What is Jacquelyn Ellis's specialty?

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

Is Jacquelyn Ellis enrolled in Medicare?

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

What insurance does Jacquelyn Ellis accept?

Health plans from Providence Health Plan list Jacquelyn Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelyn Ellis was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.