Laurie A Ellis, LCSW

NPI #1619564861 in Penn Yan, New York

Provider Information

NPI Number: 1619564861
Entity Type: Individual
Name: Laurie A Ellis, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 22, 2020
Last Updated: Oct 7, 2025

Practice Location

Address: 112 KIMBALL AVE
City: Penn Yan
State: New York
ZIP Code: 14527-1816
Phone: (315) 536-2752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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