AMANDA ELLIS (NPI# 1245680925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245680925 |
| Entity Type | Individual |
| Full Name | AMANDA ELLIS |
| Credential | LICSW |
| Practice Address |
2960 Snelling Ave N Ste 210 Roseville MN 55113-2458 |
| Practice Telephone | 6512178600 |
| Mailing Telephone | 6512178600 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
25258 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | NGS MEDICARE | H300322582 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902443195 | Amanda L Ellis | Family Medicine | 750 Albemarle Ave, Cuyahoga Falls, OH 44221-4814 | 2019-12-06 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1558876748 | Amanda Ellis | Behavior Technician | 2751 Legends Pkwy Ste 2, Prattville, AL 36066-7754 | 2017-12-10 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1568070654 | Amanda D Ellis | Nurse Practitioner | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2020-07-15 |
| 1336795327 | Amanda Nicole Ellis | Counselor | 128 N 2nd St Ste 202, Clarksville, TN 37040-6460 | 2019-08-15 |
| 1316508930 | Amanda Ellis | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-06-25 |
| 1972164689 | Amanda Elizabeth Ellis | Counselor | 1909 Ky 3439, Barbourville, KY 40906-7201 | 2019-06-24 |
| 1649836024 | Amanda Ellis | Dentist | 1001 Covington St, Youngstown, OH 44510-1617 | 2019-05-12 |
| 1780145029 | Amanda Ellis | Counselor | 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 | 2019-03-28 |
| Street Address |
2960 SNELLING AVE N STE 210 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700097409 | Lynn Marie Bjornnes | Specialist | 2960 Snelling Ave N, Roseville, MN 55113-2458 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831615 | Gary Hupp Phd Lcsw and Associates Inc | Social Worker | 735 Sunrise Ave Ste 130, Roseville, CA 95661-4596 | 2020-01-30 |
| 1407407125 | Restorative Mental Wellness Center | Social Worker | 30550 Gratiot Ave Unit 66468, Roseville, MI 48066-6747 | 2019-09-24 |
| 1104327154 | Jean Anne Carll | Social Worker | 4033 Jerome Way, Roseville, CA 95747-9586 | 2018-02-26 |
| 1699205146 | Amanda Ellis,llc | Social Worker | 2960 Snelling Ave N Ste 210, Roseville, MN 55113-2458 | 2017-06-18 |
| 1629520622 | Steps One Step At A Time, LLC | Social Worker | 27730 Brinker St, Roseville, MI 48066-4850 | 2016-10-26 |
| 1588114433 | Jennifer Noricks | Social Worker | 28491 Utica Rd, Ste 106, Roseville, MI 48066-2593 | 2016-10-04 |
| 1043667587 | Andrea Mccormick | Social Worker | 2277 Highway 36 W Ste 310, Roseville, MN 55113-3830 | 2016-05-14 |
| 1770938714 | Lois Garriott | Social Worker | 18650 Florence St, Roseville, MI 48066-4815 | 2016-04-27 |
| 1598120321 | Lindsay Marie Ramirez | Social Worker | 1700 Highway 36 W Ste 130, Roseville, MN 55113-4054 | 2015-12-21 |
| 1417328766 | Lauren Cook | Social Worker | 1830 Sierra Gardens Dr Ste 10, Roseville, CA 95661-2942 | 2015-10-13 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on AMANDA ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.