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Contact Information

KIERSTAN ELLIS
4975 LACROSS RD STE 351
NORTH CHARLESTON, SC29406-6530
 Phone: 803-403-0294
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KIERSTAN ELLIS · (Female)

NPI # 1821972894
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2025
Last updated 08/04/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 17984
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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