Diana A Ellis, LCSW
Social Worker, Clinical in Sunnyvale, CA. Individual provider (NPI-1).
NPI number1346476546
StatusActive
Last updated in NPPESJun 3, 2009
Details
- NPI
- 1346476546
- Entity type
- Individual (NPI-1)
- Name
- Ms. Diana A Ellis
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2009
- Last updated
- Jun 3, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS13911 | CA | Yes |
Practice location
877 W Fremont Ave Ste K5Sunnyvale, CA 94087-2319
Phone 408-517-9835
Mailing address
507 Blueberry TerSan Jose, CA 95129-1902
Phone 408-253-3918
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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