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DERRICK NORMAN ELLIS BS
NPI 1659652824
Counselor in Salisbury, MD

Active since September 01, 2011
2336 GODDARD PKWY, SALISBURY, MD 21801(410) 334-6961(410) 334-6362 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derrick Norman Ellis Bs NPPES

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

DERRICK NORMAN ELLIS BS (NPI 1659652824) is an individual counselor in Salisbury, Maryland and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1659652824
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDERRICK NORMAN ELLISCredential: BS
Location Address2336 GODDARD PKWYSalisbury, MD 21801-1126
Mailing Address2336 Goddard PkwySalisbury, MD 21801-1126 · (410) 334-6961 · Fax (410) 334-6362
Phone(410) 334-6961
Fax(410) 334-6362
Sole ProprietorNo
Enumeration DateSeptember 1, 2011
✔ NPI 1659652824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2336 GODDARD PKWY, Salisbury, MD 21801
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Other Identifiers 1

Medicaid609550001MD

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.

MS. LAURA ANN DIDIO RN-C
Registered Nurse
2336 GODDARD PKWY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
MS. SHIRLEY JEAN BRUNER LCSWC
Social Worker (Clinical)
2336 GODDARD PKWY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
MS. MICHELLE LYNN WARDER BA
Counselor
2336 GODDARD PKWY, EASTERN SHORE PSYCHOLOGICAL SERVICES
SALISBURY, MD 21801
Wicomico County (410) 334-6961
LARRY KEITH WISE MD
Psychiatry & Neurology (Psychiatry)
2336 GODDARD PKWY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
MISS SHEREMA LAVONE COPES M.S.
Counselor
2336 GODDARD PKWY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
JENNIFER DENISE BROWN BA
Counselor
2336 GODDARD PKWY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
MS. KAREN E. RAY LCPC
Counselor (Professional)
2336 GODDARD PKWY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
SHEILA JUNE EDWARDS
Counselor
2336 GODDARD PKWY
SALISBURY, MD 21801
Wicomico County (410) 334-6961

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 Derrick Ellis's NPI number?

The NPI number for Derrick Ellis is 1659652824. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Derrick Ellis located?

Derrick Ellis practices at 2336 Goddard Pkwy, Salisbury, MD 21801. The listed phone number is (410) 334-6961.

What is Derrick Ellis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Derrick Ellis was last updated on September 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.