MRS. MICHELLE ELLSWORTH, LCSW

Social Worker - Clinical

Active Individual
NPI: 1700245164

Practice Address

621 W MADRONE ST
Roseburg, OR 97470

Phone: (541) 492-0158

Specialties

Specialty Code Primary License
Social Worker 104100000X No -
Social Worker - Clinical 1041C0700X Yes -

Frequently Asked Questions

NPI 1700245164 is the National Provider Identifier for MRS. MICHELLE ELLSWORTH, LCSW, a Social Worker - Clinical provider located in Roseburg, OR. This NPI was enumerated on February 14, 2016.
MRS. MICHELLE ELLSWORTH, LCSW practices at 621 W MADRONE ST, Roseburg, OR 97470.

Quick Facts

NPI
1700245164
Type
Individual
Enumerated
Feb 14, 2016
Last Updated
Nov 6, 2018

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