Lisa Ellis Lscsw Llc | |
203 E 7th St Ste B Hays KS 67601-4584 | |
(785) 432-5307 | |
Not Available |
Full Name | Lisa Ellis Lscsw Llc |
---|---|
Speciality | Social Worker |
Location | 203 E 7th St Ste B, Hays, Kansas |
Authorized Official Name and Position | Lisa Ellis (LSCSW) |
Authorized Official Contact | 7854325307 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lisa Ellis Lscsw Llc 203 E 7th St Ste B Hays KS 67601-4584 Ph: () - | Lisa Ellis Lscsw Llc 203 E 7th St Ste B Hays KS 67601-4584 Ph: (785) 432-5307 |
NPI Number | 1881404028 |
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Provider Enumeration Date | 01/09/2025 |
Last Update Date | 01/09/2025 |
Certification Date | 01/09/2025 |
Medicare PECOS PAC ID | 9830628213 |
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Medicare Enrollment ID | O20250130000687 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881404028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lisa L Ellis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083842280 PECOS PAC ID: 9638354400 Enrollment ID: I20110421000643 |
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