Active NPI
Ethel A Elkins, LCSW
- Clinical Social Worker
- Fort Branch, IN
National Provider Identifier
1013951052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34002277A
- Practice address
- 123 N McCreary St
Fort Branch, IN 47648-1313 - Phone
- (812) 753-1039
- Fax
- (812) 753-1122
- NPI assigned
- Jun 16, 2006
- Last updated
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34002277A | IN | Primary |
Addresses
Primary practice location
123 N McCreary St
Fort Branch, IN 47648-1313
Mailing address
108 N Main St
Princeton, IN 47670-1540
Phone (812) 753-1039
Other practice location 1
108 N Main St
Princeton, IN 47670-1540
Phone (812) 753-1039
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371620615 | Other | IN | TRICARE PIN |
| 000000381376 | Other | IN | ANTHEM PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002277A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Cross Pointe | Past | Accepting new patients | |
| Deaconess Cross Pointe Center, LLC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- ethel.elkins@tfhc.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/FGEDBA/Endpoint/FGEDBA
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.
-
dba Tulip Tree Family Health Care
- Federally Qualified Health Center (FQHC)
- Fort Branch, IN
- NPI 1932225372
-
- Psychiatric Hospital
- Evansville, IN
- NPI 1053318972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1013951052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N MAIN ST",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476701540",
"telephone_number": "812-753-1039",
"fax_number": "812-753-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 N MCCREARY ST",
"city": "FORT BRANCH",
"state": "IN",
"postal_code": "476481313",
"telephone_number": "812-753-1039",
"fax_number": "812-753-1122"
}
],
"practiceLocations": [
{
"address_1": "108 N Main St",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "IN",
"postal_code": "476701540",
"country_code": "US",
"telephone_number": "812-753-1039",
"fax_number": "812-753-1122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELKINS",
"first_name": "ETHEL",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002277A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PIN",
"identifier": "371620615",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000381376",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Branch, IN
- Audra Jean Cox
- Deaconess Clinic Inc
- Deaconess Clinic, Inc (Deaconess Clinic I)
- Deaconess Hospital Inc
- Deaconess Hospital, Inc (Deaconess Medical Group - Ft Branch)
- Quentin B Emerson, M.D.
- Nichole Epperson, LCSW
- Errand Runners LLC
- Gibson General Hospital, Inc (Deaconess Gibson Ft Branch)
- Tara Greenlee, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.