National Provider Identifier
Laurie A Ellis, LCSW
Laurie A Ellis, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Penn Yan, NY and a listed phone number of (315) 536-2752.
Profile Overview
- NPI
- 1619564861
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 22, 2020
- Last Updated
- October 07, 2025
Practice Location
- 112 Kimball Ave
- Penn Yan, NY 14527-1816
Phone: (315) 536-2752
Mailing Address
- PO Box 423
- Penn Yan, NY 14527-0423
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1619564861
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Laurie
- Middle Name
- A
- Credential
- LCSW
- Provider Other Last Name
- Smith
- Provider Other First Name
- Laurie
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- PO Box 423
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-0423
- Mailing Country
- US
- Mailing Phone
- (315) 531-9102
- Practice Street Address
- 112 Kimball Ave
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1816
- Practice Country
- US
- Practice Phone
- (315) 536-2752
- Enumeration Date
- December 22, 2020
- Last Updated
- October 07, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 07, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)