| 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 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 9830628213 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083842280 PECOS PAC ID: 9638354400 Enrollment ID: I20110421000643 |
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