Fiellman, Ellen Denise

Fiellman, Ellen Denise is an individual health care provider with primary practice located at 1430 Olive St Suite 400, Saint Louis MO 63103-2303. 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 / Clinical is her primary health care specialty. Fiellman, Ellen Denise can be contacted via phone (314) 206-3405.

Contact Information

Primary practice address
1430 Olive St Suite 400 Saint Louis MO 63103-2303
Phone: (314) 206-3405
Fax: (314) 206-3992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 069917-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2012025911 Missouri

Profile Details

NPI number 1922010040
LBN Legal business name Fiellman, Ellen Denise
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jan 16th, 2013 - about 13 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 1922010040 NPPES
New York MEDICAID 07300069917

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