# ELLEN WELTHY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205097250
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 073554-1 | NY | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 12/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02664359 | — | NY |
| 01 | — | 051104000053 | FIDELIS | NY |