MS. MAUREEN ELLIS LICSW, LCSW
NPI 1962746859
Social Worker - Clinical in Minneapolis, MN
About Ms. Maureen Ellis Licsw, Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MAUREEN ELLIS LICSW, LCSW (NPI 1962746859) is an individual clinical provider in Minneapolis, Minnesota, licensed in California (26144) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Maureen Ellis Licsw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maureen Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55407
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Heal With Me Psychotherapyllc
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55412
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 Maureen Ellis's NPI number?
The NPI number for Maureen Ellis is 1962746859. It was assigned to this individual provider in the NPPES registry on November 16, 2012.
Where is Maureen Ellis located?
Maureen Ellis practices at 4151 Thomas Ave N, Minneapolis, MN 55412. The listed phone number is (818) 209-9885.
What is Maureen Ellis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Maureen Ellis enrolled in Medicare?
Yes. Maureen Ellis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maureen Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Ellis reassigns Medicare benefits to Heal With Me Psychotherapy LLC (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maureen Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maureen Ellis was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ms. Maureen Ellis, LICSW, LCSW · NPI 1962746859
Clinical provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since November 16, 2012.
## Identity
- **NPI:** 1962746859 (Entity type: Individual)
- **Enumerated:** November 16, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 26144 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4151 THOMAS AVE N, Minneapolis, MN 55412
- **Phone:** (818) 209-9885
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Heal With Me Psychotherapy LLC (NPI 1972485878, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 8, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1962746859) · Data from the CMS NPPES public registry.