MARC R ELLISON LICSWA
NPI 1891261855
Social Worker - Clinical in Issaquah, WA

Q: What is Marc Ellison's NPI number?

The NPI number for Marc Ellison is 1891261855. It was assigned to this individual provider in the NPPES registry on October 17, 2018. The provider is also known as M Eli Ellison Licswa.

Q: What is Marc Ellison's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Marc Ellison was last updated on December 5, 2018. 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.

Active since October 17, 2018

414 FRONT ST N, ISSAQUAH, WA 98027(425) 392-6367(425) 391-4971 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2018, Oct 17, 2018 (2 updates tracked since 2018).

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About Marc R Ellison Licswa NPPES

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

MARC R ELLISON LICSWA (NPI 1891261855) is an individual clinical provider in Issaquah, Washington, licensed in Washington (SC60507250) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1891261855

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMARC R ELLISONCredential: LICSWA

Location Address414 FRONT ST NIssaquah, WA 98027-2914

Mailing Address414 Front St NIssaquah, WA 98027-2914 · (425) 392-6367 · Fax (425) 391-4971

Phone(425) 392-6367

Fax(425) 391-4971

Sole ProprietorNo

Enumeration DateOctober 17, 2018

Last NPPES UpdateDecember 5, 20182 updates tracked since enumeration

✔ NPI 1891261855 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 WA · SC60507250

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.

414 FRONT ST N, Issaquah, WA 98027

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Other Names 1

Other Name (5)M Eli Ellison Licswa

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.

GERALD BLACKBURN

Counselor (Addiction (Substance Use Disorder))