ISHEABA ELLIS (NPI# 1548896806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548896806 |
| Entity Type | Individual |
| Full Name | ISHEABA ELLIS |
| Credential | LCSW |
| Practice Address |
1892 Manor Dr Apt D Union NJ 07083-4512 |
| Practice Telephone | 8622362225 |
| Mailing Telephone | 8622362225 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LC50082187 | DC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05828600 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1892 MANOR DR APT D |
| City | UNION |
| State | NJ |
| Zip Code | 07083-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| 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 |
|---|---|---|---|---|
| 1124628599 | Jp Chrisitian Counseling | Social Worker | 1256 Harding Ave, Union, NJ 07083-3738 | 2020-10-27 |
| 1558972885 | Theracouch | Social Worker | 1892 Manor Dr, Union, NJ 07083-4512 | 2020-08-11 |
| 1689201303 | Mary Lavecchia | Social Worker | 905 Magie Ave, Union, NJ 07083-7737 | 2020-03-24 |
| 1831734888 | Brandy Bousquet | Social Worker | 1065 Buckley Hwy, Union, CT 06076-4802 | 2019-11-14 |
| 1528535911 | Emily Danielle Thoenen | Social Worker | 312 Hickory Field Ct, Union, MO 63084-2761 | 2018-10-24 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1053866129 | Lori Barnett | Social Worker | 626 Chestnut St Fl 2, Union, NJ 07083 | 2016-08-18 |
| 1780049072 | Dorothy Craig | Social Worker | 201 Herndon, Union, SC 29379 | 2015-12-31 |
| 1346633344 | Tracey A Bright | Social Worker | 2653 Twin Hills Ct, Union, KY 41091-9274 | 2015-03-15 |
| Find all providers in UNION | ||||
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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.