| Mr Christopher Bruce Ellison, LCSW | |
|
102 W 18th St, London, KY 40741-1050 | |
| (606) 261-1722 | |
| Not Available |
| Full Name | Mr Christopher Bruce Ellison |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 102 W 18th St, London, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396387064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 259080 (Kentucky) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher Bruce Ellison, LCSW 201 N Highway 1223, Corbin, KY 40701-4829 Ph: (606) 261-1722 | Mr Christopher Bruce Ellison, LCSW 102 W 18th St, London, KY 40741-1050 Ph: (606) 261-1722 |
Tiffany Cara Daugherty, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Carrera Dr, London, KY 40741 Phone: 606-657-2079 | |
Lakeisha Michell Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Carrera Dr, London, KY 40741 Phone: 606-657-2079 | |
Pat Collier, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 W 7th St, Suite 115, London, KY 40741 Phone: 606-657-0532 Fax: 606-657-0535 | |
Mr. John S Collier, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 202 W 7th St Ste 200, London, KY 40741 Phone: 606-657-0532 Fax: 606-657-0535 | |
Ms. Georgia B Dunn, LPCC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2645 N Laurel Rd, London, KY 40741 Phone: 513-834-7063 | |
Amber Hibbitts, LCSW, CCTP-II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Dogpatch Trading Center, Suite 1, London, KY 40741 Phone: 606-260-8905 |