Search › Illinois › 1041C0700X
Jennifer Ellis, LCSW
NPI 1043631237 · on the registry since 2013
Practice
- Address
- 3 Oak Dr Ste B
Maryville, IL 62062 - Phone
- (618) 972-1568
- Fax
- (618) 205-3561
- Organisation at this address
- Counselors Associates
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Additional practice sites
- 350 N Main St, Hoyleton, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois