Jacqueline Kirsten Ellis, LICSW - Counselor in Landover, MD

Jacqueline Kirsten Ellis, LICSW is a Counselor - Mental Health based in Landover, Maryland. Jacqueline Kirsten Ellis is licensed to practice in District Of Columbia (license number LC50081444) and her current practice location is 721 Bain Dr Apt 211, Landover, Maryland. She can be reached at her office (for appointments etc.) via phone at (202) 489-2858.

NPI number for Jacqueline Kirsten Ellis is 1952060188 and her current mailing address is 721 Bain Dr Apt 211, Landover, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952060188.

Contact Information

Jacqueline Kirsten Ellis, LICSW
721 Bain Dr Apt 211,
Landover, MD 20785-5971
(202) 489-2858
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJacqueline Kirsten Ellis
GenderFemale
SpecialityCounselor - Mental Health
Location721 Bain Dr Apt 211, Landover, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952060188
  • Provider Enumeration Date: 12/15/2021
  • Last Update Date: 12/15/2021

Medical Identifiers

Medical identifiers for Jacqueline Kirsten Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952060188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LC50081444 (District Of Columbia)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. Jacqueline Kirsten 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 AddressPractice Location Address
Jacqueline Kirsten Ellis, LICSW
721 Bain Dr Apt 211,
Landover, MD 20785-5971

Ph: (202) 489-2858
Jacqueline Kirsten Ellis, LICSW
721 Bain Dr Apt 211,
Landover, MD 20785-5971

Ph: (202) 489-2858

Reviews and Comments


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