CHRISTINE L. ELLIS (NPI# 1477846186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477846186 |
| Entity Type | Individual |
| Full Name | CHRISTINE L. ELLIS |
| Other Name | CHRISTINE GIANCOLA |
| Practice Address |
1627 Oak Ave Ste C Davis CA 95616-1072 |
| Mailing Address |
Po Box 1403 Woodland CA 95776-1403 |
| Practice Telephone | 5307760552 |
| Mailing Telephone | 5307760552 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2020-09-09 |
| NPI Deactivation Date | 06/11/2019 |
| NPI Reactivation Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366719841 | Christine Ellis | Counselor | 641 Marta Ln, Mosinee, WI 54455-8962 | 2011-11-28 |
| 1598061939 | Christine Kapherr Ellis | Dietitian, Registered | 73 Watt Pond Rd, Putney, VT 05346-8962 | 2011-02-02 |
| 1316947591 | Christine D Ellis | Family Medicine | 4525 Holt Rd, Sylvania, OH 43560-9795 | 2005-07-28 |
| 1740838895 | Christine Ellis | Nurse Practitioner | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2019-09-02 |
| 1487200101 | Christine L Ellis | Behavior Technician | 275 W Natick Rd Ste 400, Warwick, RI 02886-1161 | 2019-08-19 |
| 1992262653 | Christine Ellis | Counselor | 160 N Breiel Blvd, Middletown, OH 45042-3806 | 2019-02-28 |
| 1821441304 | Christine Ellis | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-07-19 |
| 1457701740 | Christine Ellis | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2016-06-16 |
| 1205216314 | Christine Ellis | Counselor | 6261 Dupont Station Ct E, Jacksonville, FL 32217-2567 | 2015-06-03 |
| 1114361268 | Christine R Ellis | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2013-04-19 |
| Street Address |
1627 OAK AVE STE C |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912565524 | Bethany Basinger Coburn | Social Worker | 1627 Oak Ave Ste C, Davis, CA 95616-1072 | 2019-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821465915 | Marion P Spera | Social Worker | 935 Bienville St, Davis, CA 95616-2901 | 2015-08-25 |
| 1124432307 | Charlotte Lucero | Social Worker | 897 Lake Terrace Cir, Davis, CA 95616-2747 | 2014-06-17 |
| 1912142803 | Maia Claire Gunther | Social Worker | 3117 Chesapeake Bay Ave, Davis, CA 95616-2603 | 2008-12-08 |
| 1265547871 | Laili June Mcgrew | Social Worker | 423 F St, Suite 201, Davis, CA 95616-4136 | 2006-08-21 |
| 1508401530 | Tytus Massei | Social Worker | 212 I St, Davis, CA 95616-4213 | 2019-11-13 |
| 1144876897 | Katherine Marie Lobertini | Social Worker | 212 I St, Davis, CA 95616-4213 | 2019-08-16 |
| 1912488982 | Tiffany Vo | Social Worker | 212 I St, Davis, CA 95616-4213 | 2018-08-27 |
| 1679068928 | Monica A Del Villar | Social Worker | 212 I St, Davis, CA 95616 | 2018-06-28 |
| 1053830638 | Ema Jean Miille | Social Worker | 212 I St, Davis, CA 95616-4213 | 2017-09-14 |
| 1134647332 | Elizabeth Guzman | Social Worker | 212 I St, Davis, CA 95616-4213 | 2017-09-07 |
| Find all providers in DAVIS | ||||
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| 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.