MYKAH ELLISON LMSW
NPI 1720385552
Social Worker - Clinical in Savannah, TN

Active since February 14, 2011
1410 PICKWICK ST, SAVANNAH, TN 38372(731) 925-5054(731) 925-5699 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mykah Ellison Lmsw NPPES

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

MYKAH ELLISON LMSW (NPI 1720385552) is an individual clinical provider in Savannah, Tennessee, licensed in Tennessee (6028) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1720385552
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMYKAH ELLISONCredential: LMSW
Location Address1410 PICKWICK STSavannah, TN 38372-3519
Mailing Address1410 Pickwick StSavannah, TN 38372-3519 · (731) 925-5054 · Fax (731) 925-5699
Fax(731) 925-5699
Sole ProprietorNo
Enumeration DateFebruary 14, 2011
Last NPPES UpdateNovember 7, 2016
NPI 1720385552 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 TN · 6028
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.
1410 PICKWICK ST, Savannah, TN 38372

Other Identifiers 2

Medicare PIN103I801866
MedicaidQ010331TN

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
1410 PICKWICK ST
SAVANNAH, TN 38372
Counselor
1410 PICKWICK ST
SAVANNAH, TN 38372
Counselor (Mental Health)
1410 PICKWICK ST
SAVANNAH, TN 38372
Counselor
1410 PICKWICK ST
SAVANNAH, TN 38372

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 Mykah Ellison's NPI number?

The NPI number for Mykah Ellison is 1720385552. It was assigned to this individual provider in the NPPES registry on February 14, 2011.

Where is Mykah Ellison located?

Mykah Ellison practices at 1410 Pickwick St, Savannah, TN 38372. The listed phone number is (731) 925-5054.

What is Mykah Ellison'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 Mykah Ellison was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.