| Doctor Name: | NANCY ELLIS-CAWLEY |
| NPI Number: | 1083818132 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 12195 |
| Business Practice Address: | 8080 Madison Ave 200a Fair Oaks, CA - 956283759 |
| Business Phone Number: | 9163612928 |
| Business Fax Number: | 9169620956 |
| Mailing Address: | 8080 Madison Ave, 200a FAIR OAKS |
| State: | CA |
| Postal Code: | 956283799 |
| Phone Number: | 9163612928 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 03/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 12195 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |