Ellingson, Sara M

Ellingson, Sara M is an sole proprietor health care provider with primary practice located at 401 N Morain St , Kennewick WA 99336-2639. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ellingson, Sara M can be contacted via phone (509) 735-1838.

Contact Information

Primary practice address
401 N Morain St Kennewick WA 99336-2639
Phone: (509) 735-1838
Fax: (509) 783-3526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00004395 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00004036 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00004036 Washington

Profile Details

NPI number 1316098551
LBN Legal business name Ellingson, Sara M
Credentials LICSW LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Aug 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316098551 NPPES
Washington Other P00062532 RAILROAD MEDICARE

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