Jasmine C. Ellison, LCSW
Social Worker, Clinical in Santa Monica, CA. Individual provider (NPI-1).
NPI number1295480671
StatusActive
Last updated in NPPESDec 21, 2024
Details
- NPI
- 1295480671
- Entity type
- Individual (NPI-1)
- Name
- Jasmine C. Ellison
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2022
- Certification date
- Dec 21, 2024
- Last updated
- Dec 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.022901 | IL | Yes |
Practice location
312 Arizona AveSanta Monica, CA 90401-1306
Phone 847-350-9120
Mailing address
5201 Great America Pkwy Ste 320Santa Clara, CA 95054-1140
Phone 847-350-9120
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All 260 Clinical Social Worker providers in Santa Monica · All 6,518 providers in Santa Monica
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