Ellis, Maureen Ann

Ellis, Maureen Ann is an sole proprietor health care provider with primary practice located at 12054 Depaul Hills Dr , Bridgeton MO 63044-3511. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Ellis, Maureen Ann can be contacted via phone (314) 298-0808.

Contact Information

Primary practice address
12054 Depaul Hills Dr Bridgeton MO 63044-3511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 001878 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001878 Missouri

Profile Details

NPI number 1912045386
LBN Legal business name Ellis, Maureen Ann
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers