Kylie Ellsworth
Social Worker
1206 Clinton Rd
Jackson
, Michigan 49202-2005
Kylie Ellsworth
Social Worker
1206 Clinton Rd
Jackson
, Michigan 49202-2005
(517) 783-4164
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Kylie Ellsworth
- 1206 Clinton Rd
- Jackson, MI
- Zip : 49202-2005
- Fax : (517) 783-4164
- Phone : (517) 247-8859
Second Address
- Kylie Ellsworth
- 1206 Clinton Rd
- Jackson, MI
- Zip : 49202-2005
- Fax : (517) 783-4164
- Phone : (517) 783-4250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker |
National Provider Identifier
| NPI | 1003586868 |
|---|---|
| Provider Name | Kylie Ellsworth |
| First Address | Jackson, MI 49202-2005 |
| Second Address | Jackson, MI 49202-2005 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2021 |
| Last Update Date | 14/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.