Nicole Ellingsworth, MS, CCC-SLP - Speech-Language Pathologist in Bay Springs, MS

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Nicole Ellingsworth, MS, CCC-SLP is a Speech-language Pathologist based in Bay Springs, Mississippi. Nicole Ellingsworth is licensed to practice in Mississippi (license number S3891) and her current practice location is 15 S Sixth St, Bay Springs, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 764-2101.

NPI number for Nicole Ellingsworth is 1750780565 and her current mailing address is 1912 Mamie St, Hattiesburg, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750780565.

Contact Information

Nicole Ellingsworth, MS, CCC-SLP
15 S Sixth St,
Bay Springs, MS 39422-9052
(601) 764-2101
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNicole Ellingsworth
GenderFemale
SpecialitySpeech-language Pathologist
Location15 S Sixth St, Bay Springs, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750780565
  • Provider Enumeration Date: 08/18/2014
  • Last Update Date: 08/18/2014

Medical Identifiers

Medical identifiers for Nicole Ellingsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750780565NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist S3891 (Mississippi)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. Nicole Ellingsworth 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
Nicole Ellingsworth, MS, CCC-SLP
1912 Mamie St,
Hattiesburg, MS 39401-7434

Ph: (812) 241-5622		Nicole Ellingsworth, MS, CCC-SLP
15 S Sixth St,
Bay Springs, MS 39422-9052

Ph: (601) 764-2101

Reviews and Comments


Speech-Language Pathologist in Bay Springs, MS

Courtney Covin,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 15a South 6th Street, Bay Springs, MS 39422
Phone: 601-764-2101    
Lauren Gandy,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 15 A South 6th Street, Bay Springs, MS 39422
Phone: 601-764-2101    

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