Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEPHANIE ANN ELLIS LCSW
NPI 1730625294
Social Worker - Clinical in Kathleen, GA

Active since January 09, 2017
108 EASTVIEW AVE, KATHLEEN, GA 31047(919) 986-2112 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Jan 9, 2017 (2 updates tracked since 2017).

About Stephanie Ann Ellis Lcsw NPPES

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

STEPHANIE ANN ELLIS LCSW (NPI 1730625294) is an individual clinical provider in Kathleen, Georgia, licensed in California (83676) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1730625294
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE ANN ELLISCredential: LCSW
Location Address108 EASTVIEW AVEKathleen, GA 31047-2554
Mailing Address5201 Great America Pkwy Ste 320Santa Clara, CA 95054-1140 · (951) 387-4891
Sole ProprietorNo
Enumeration DateJanuary 9, 2017
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
NPI 1730625294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in CA · 83676 Licensed in GA · 009622 Licensed in NC · C009955
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.
108 EASTVIEW AVE, Kathleen, GA 31047

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 Stephanie Ellis's NPI number?

The NPI number for Stephanie Ellis is 1730625294. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Where is Stephanie Ellis located?

Stephanie Ellis practices at 108 Eastview Ave, Kathleen, GA 31047. The listed phone number is (919) 986-2112.

What is Stephanie Ellis'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 Stephanie Ellis was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.