Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Ellis, LCSW

Individual provider Clinical Social Worker · NPI 1861719643

Tara Ellis, LCSW is a Clinical Social Worker in Middletown, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.

Licensed in
CT
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

675 Main St
Middletown, CT 06457-2718
Phone: (890) 347-6971
Fax: (860) 343-7379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 007912 (CT)

Record details

NPI number1861719643
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 3, 2010
Last updated in NPPESMarch 16, 2015

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