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Contact Information

NAYIVE ELLIS, LSCSW
104 S. MAIN STREET
JOHNSON CITY, KS67855
 Phone: 620-952-1738
 Fax: 620-492-3316
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for NAYIVE ELLIS · (Female)

NPI # 1033594775
Status Active
Credentials LSCSW
Entity Individual
Enumeration date 07/23/2015
Last updated 09/24/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 4766
  • KS License # 9639
  • KS Medicaid 201119110B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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