Jacqueline Ellis, LCSW-C

NPI #1003574229 in Adamstown, Maryland

Provider Information

NPI Number: 1003574229
Entity Type: Individual
Name: Jacqueline Ellis, LCSW-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW-C
Enumeration Date: Dec 5, 2021
Last Updated: Feb 6, 2026

Practice Location

Address: 5144 DOUBS RD
City: Adamstown
State: Maryland
ZIP Code: 21710-8919
Phone: (240) 397-4356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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Organizations

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