Emmaly Ellis, LCSW, MSW
Social Worker, Clinical in Nevada, MO. Individual provider (NPI-1).
NPI number1801508155
StatusActive
Last updated in NPPESAug 17, 2026
Details
- NPI
- 1801508155
- Entity type
- Individual (NPI-1)
- Name
- Emmaly Ellis
- Credential
- LCSW, MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2022
- Certification date
- Aug 17, 2026
- Last updated
- Aug 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2024048942 | MO | Yes |
Practice location
1819 W AustinNevada, MO 64772-2202
Phone 417-448-7481
Mailing address
Po Box 91Nevada, MO 64772-0091
Phone 417-448-7481
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