KIMBERLY E ELLIS MSW, LCSW
NPI 1457724841
Social Worker - Clinical in Charlotte, NC

Q: What is Kimberly Ellis's NPI number?

The NPI number for Kimberly Ellis is 1457724841. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Q: What is Kimberly Ellis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Ellis was last updated on April 21, 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.

Active since November 05, 2015

811 CENTRAL AVE STE 8, CHARLOTTE, NC 28204(484) 868-0226 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly E Ellis Msw, Lcsw NPPES

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

KIMBERLY E ELLIS MSW, LCSW (NPI 1457724841) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C011215) and active in the NPI registry since November 2015. She maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1457724841

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY E ELLISCredential: MSW, LCSW

Location Address811 CENTRAL AVE STE 8Charlotte, NC 28204-2015

Mailing Address811 Central Ave Ste 8Charlotte, NC 28204-2015 · (484) 868-0226

Phone(484) 868-0226

Sole ProprietorYes

Enumeration DateNovember 5, 2015

Last NPPES UpdateApril 21, 2026

NPPES CertifiedApril 21, 2026

✔ NPI 1457724841 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 NC · C011215

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.

811 CENTRAL AVE STE 8, Charlotte, NC 28204

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Secondary Practice Location 1

Location 1207 Berryfield DrGreensboro, NC 27410-9980 · Phone (484) 868-0226

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

ANNA GRACE DRAGE

Social Worker (Clinical)