Individual provider Active NPI

Stephen H Elkin, LICSW

  • Clinical Social Worker
  • Sharon, MA
National Provider Identifier
1003056672
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114935 Issued in MA
Practice address
450 N Main St
Sharon, MA 02067-1172
Phone
(781) 588-2311
NPI assigned
Feb 23, 2009
Last updated
May 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114935 MA Primary

Addresses

Primary practice location

450 N Main St
Sharon, MA 02067-1172

Mailing address

450 N Main St
Sharon, MA 02067-1172
Phone (781) 588-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114935MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Associates III, Inc Clinical PastSince May 25, 1999 Accepting new patients
Adult & Child Counseling Associates Clinical Past Accepting new patients
Veterans Administration Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1003056672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N MAIN ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671172",
            "telephone_number": "781-588-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N MAIN ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671172",
            "telephone_number": "781-588-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKIN",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-23",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, MA

Sources for this page

Verify at the official NPI Registry.