Marquisha Kentrell Ellis, is a
Social Worker - Clinical based in Berry Hill, Tennessee. Marquisha Kentrell Ellis is licensed to practice in Tennessee (license number 14448) and her current practice location is
701 Fessey Park Rd Apt 104, Berry Hill, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(901) 601-8908.
NPI number for Marquisha Kentrell Ellis is 1982566774 and her current mailing address is 701 Fessey Park Rd Apt 104, Berry Hill, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982566774.
Healthcare Provider's Profile
| Full Name | Marquisha Kentrell Ellis |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 701 Fessey Park Rd Apt 104, Berry Hill, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982566774
- Provider Enumeration Date: 12/01/2025
- Last Update Date: 12/01/2025
Medical Identifiers
Medical identifiers for Marquisha Kentrell Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982566774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 14448 (Tennessee) | Primary |
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. Marquisha Kentrell Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Marquisha Kentrell Ellis, 701 Fessey Park Rd Apt 104, Berry Hill, TN 37204-3262 Ph: (901) 601-8908 | Marquisha Kentrell Ellis, 701 Fessey Park Rd Apt 104, Berry Hill, TN 37204-3262 Ph: (901) 601-8908 |
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