1. Home
  2. Directory
  3. Florida
  4. Fleming Island
  5. Social Worker
  6. NPI Profile

TERESA ELLSWORTH, LCSW
NPI 1871067736
Social Worker - Clinical in Fleming Island, FL

Active since January 14, 2019
2219 HARBOR LAKE DR, FLEMING ISLAND, FL 32003(734) 673-3075(904) 375-8347 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Teresa Ellsworth, Lcsw NPPES

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

TERESA ELLSWORTH, LCSW (NPI 1871067736) is a healthcare organization registered as a clinical in Fleming Island, Florida and active in the NPI registry since January 2019. The organization lists Teresa Ellsworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1871067736
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTERESA ELLSWORTH, LCSW
Location Address2219 HARBOR LAKE DRFleming Island, FL 32003-7796
Mailing Address2219 Harbor Lake DrFleming Island, FL 32003-7796 · (734) 673-3075 · Fax (904) 375-8347
Phone(734) 673-3075
Fax(904) 375-8347
Organization SubpartNo
Authorized OfficialTeresa EllsworthOwner · (734) 673-3075
Enumeration DateJanuary 14, 2019
✔ NPI 1871067736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2219 HARBOR LAKE DR, Fleming Island, FL 32003
Open in Google Maps ↗

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

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 Teresa Ellsworth, Lcsw's NPI number?

The NPI number for Teresa Ellsworth, Lcsw is 1871067736. It was assigned to this organization in the NPPES registry on January 14, 2019.

Where is Teresa Ellsworth, Lcsw located?

Teresa Ellsworth, Lcsw is located at 2219 Harbor Lake Dr, Fleming Island, FL 32003. The listed phone number is (734) 673-3075.

What is Teresa Ellsworth, Lcsw'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 Teresa Ellsworth, Lcsw was last updated on January 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.