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MS. MAUREEN ELLIS LICSW, LCSW
NPI 1962746859
Social Worker - Clinical in Minneapolis, MN

Active since November 16, 2012PECOS Enrolled
4151 THOMAS AVE N, MINNEAPOLIS, MN 55412(818) 209-9885 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1962746859
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MAUREEN ELLISCredential: LICSW, LCSW
Location Address4151 THOMAS AVE NMinneapolis, MN 55412
Mailing Address4151 Thomas Ave NMinneapolis, MN 55412-1517 · (612) 310-8683 · Fax (651) 925-0441
Phone(818) 209-9885
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 16, 2012
Last NPPES UpdateJune 8, 2018
✔ NPI 1962746859 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 CA · 26144
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.
4151 THOMAS AVE N, Minneapolis, MN 55412
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Maureen Ellis Licsw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486158466
PECOS Enrollment IDI20250922002622
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.

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.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CHRISTINE RILEY MS, LPCC
Counselor (Mental Health)
4151 THOMAS AVE N
MINNEAPOLIS, MN 55412
Hennepin County (612) 991-8330
ABIGAIL DIEHL
Social Worker (Clinical)
4151 THOMAS AVE N
MINNEAPOLIS, MN 55412
Hennepin County (612) 454-0171
APRIL KAUFFMAN MA
Counselor (Mental Health)
4151 THOMAS AVE N
MINNEAPOLIS, MN 55412
Hennepin County (773) 837-4300
NORTHSIDE CENTER FOR EMOTIONAL WELLNESS LLC
Psychologist
4151 THOMAS AVE N
MINNEAPOLIS, MN 55412
Hennepin County (612) 310-8683
NORTHSIDE CENTER FOR EMOTIONAL WELLNESS LLC
Psychologist (Clinical Child & Adolescent)
4151 THOMAS AVE N
MINNEAPOLIS, MN 55412
Hennepin County (612) 310-8683
AMY CHRISTINE CARROLL
Social Worker (Clinical)
4151 THOMAS AVE N
MINNEAPOLIS, MN 55412
Hennepin County (612) 310-8683

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.

What insurance does Maureen Ellis accept?

Health plans from HealthPartners list Maureen Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.