Search › California › 1041C0700X
Charles Ellis, LCSW-C
NPI 1215017009 · on the registry since 2006
Practice
- Address
- 4164 Brockton Ave
Riverside, CA 92501 - Phone
- (951) 683-5193
- Organisation at this address
- Carolyn E. Wylie Center
The Carolyn E. Wylie Center
The Carolyn E. Wylie Center
The Carolyn E. Wylie Center
Young Scholars For Academic EmpowermentInferred from a shared address, not stated in the registry. - Clinicians at this address
- 118
Additional practice sites
- 2725 S Jones Blvd Ste 101, Las Vegas, NV
- 1501 Division St, Baltimore, MD
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
1041C0700X - Licence states on file
- NV, MD, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-09
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 California