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KIERSTAN ELLIS
NPI 1821972894
Social Worker in North Charleston, SC

Active since August 04, 2025PECOS Enrolled
4975 LACROSS RD STE 351, NORTH CHARLESTON, SC 29406(803) 403-0294 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kierstan Ellis NPPES

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

KIERSTAN ELLIS (NPI 1821972894) is an individual social worker in North Charleston, South Carolina, licensed in South Carolina (17984) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1821972894
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKIERSTAN ELLIS
Location Address4975 LACROSS RD STE 351North Charleston, SC 29406-6530
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958
Phone(803) 403-0294
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1821972894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in SC · 17984
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
4975 LACROSS RD STE 351, North Charleston, SC 29406
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kierstan Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456827047
PECOS Enrollment IDI20260421001613
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.

Other Providers at the Same Location NPPES 5

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

JACLYN LEA LENZ
Counselor (Professional)
4975 LACROSS RD STE 351
NORTH CHARLESTON, SC 29406
Charleston County (855) 284-7483
MISS SEBRINA JONES LCSW-R
Social Worker (Clinical)
4975 LACROSS RD STE 351
NORTH CHARLESTON, SC 29406
Charleston County (855) 284-7483
MELISSA ANDERSON
Social Worker (Clinical)
4975 LACROSS RD STE 351
NORTH CHARLESTON, SC 29406
Charleston County (800) 309-1159
ALEXANDRIA L SANDERS LPC
Counselor (Professional)
4975 LACROSS RD STE 351
NORTH CHARLESTON, SC 29406
Charleston County (617) 379-0496
MRS. CHASITY ZAYAS-DOMINO MHC-LP
Counselor (Professional)
4975 LACROSS RD STE 351
NORTH CHARLESTON, SC 29406
Charleston County (855) 284-7483

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 Kierstan Ellis's NPI number?

The NPI number for Kierstan Ellis is 1821972894. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Kierstan Ellis located?

Kierstan Ellis practices at 4975 Lacross Rd Ste 351, North Charleston, SC 29406. The listed phone number is (803) 403-0294.

What is Kierstan Ellis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kierstan Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kierstan Ellis was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.