Individual
SIERRA ELLIS
Active
Individual
SIERRA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12860
LA
1041C0700X
Clinical Social Worker
12860
LA
1041C0700X
Clinical Social Worker
5048C
AL
1041C0700X
Clinical Social Worker
C10175
MS
1041C0700X
Clinical Social Worker
Primary
CSW.09928432
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/03/2015
Last updated
07/18/2024
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