Vernon, Ellis
Vernon, Ellis is an individual health care provider with primary practice located at 2311 W. El Segundo Blvd , Hawthorne CA 90250. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Vernon, Ellis can be contacted via phone (323) 241-6733.Contact Information
Primary practice address
2311 W. El Segundo Blvd
Hawthorne CA 90250
Phone: (323) 241-6733
Fax: (323) 756-1163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW59508 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW82566 | California |
Profile Details
| NPI number | 1700275625 |
|---|---|
| LBN Legal business name | Vernon, Ellis |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2015 |
| Last updated | Mar 10th, 2021 - about 5 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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