Individual
JASMINE D ELLISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
Mailing address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2105903
OH
1041C0700X
Clinical Social Worker
Primary
S.2105903
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
12/27/2017
Last updated
07/15/2025
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