Amanda Ellis, LICSW in Roseville, MN - Medicare Clinical Social Worker Provider

Amanda Ellis, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Roseville, Minnesota. She graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice A Time For Healing Llc and her current practice location is 1611 County Road B W Ste 214, Roseville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 217-8600.

Amanda Ellis is licensed to practice in Minnesota (license number 25258) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1245680925.

Contact Information

	Amanda Ellis, LICSW
	1611 County Road B W Ste 214, Roseville, MN 55113-4053
	(651) 217-8600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Ellis
Gender	Female
Speciality	Clinical Social Worker
Experience	24 Years
Location	1611 County Road B W Ste 214, Roseville, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Ellis graduated from medical school in 2002

NPI Data:

NPI Number: 1245680925
Provider Enumeration Date: 06/14/2016
Last Update Date: 11/20/2025

Medicare PECOS Information:

PECOS PAC ID: 7214223254
Enrollment ID: I20160831000606

Medical Identifiers

Medical identifiers for Amanda Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245680925	NPI	-	NPPES
H300322582	Other	MN	NGS MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	25258 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
A Time For Healing Llc	4981034790	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Ellis allows following entities to bill medicare on her behalf.

Entity Name	A Time For Healing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710943089 PECOS PAC ID: 4981034790 Enrollment ID: O20200420000173

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amanda Ellis, LICSW 1611 County Road B W Ste 214, Roseville, MN 55113-4053 Ph: (651) 217-8600	Amanda Ellis, LICSW 1611 County Road B W Ste 214, Roseville, MN 55113-4053 Ph: (651) 217-8600

Reviews and Comments

Social Worker in Roseville, MN

Andrea Mccormick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Highway 36 W Ste 310, Roseville, MN 55113 Phone: 651-252-7755 Fax: 612-331-3520
Lisa M Borneman, DSW, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N Ste 512, Roseville, MN 55113 Phone: 651-690-6721
Jean Gregg, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2233 Hamline Ave N Ste 435, Roseville, MN 55113 Phone: 651-216-1935
Errin Marie Musich, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2277 Highway 36 W Ste 160, Roseville, MN 55113 Phone: 763-575-8086
Cimena Gordon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Highway 36 W, Suite 310, Roseville, MN 55113 Phone: 651-224-2172
Samantha Oren, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Snelling Ave N Ste 400, Roseville, MN 55113 Phone: 763-210-4698
Laura Lyman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Snelling Ave N Ste 400, Roseville, MN 55113 Phone: 763-525-9919 Fax: 763-486-4436

Amanda Ellis, LICSW - Medicare Clinical Social Worker in Roseville, MN