Elena Pernitz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

992810 Issued in CO

Practice address

3201 S Tamarac Dr
Denver, CO 80231-4360

Phone

(720) 248-4641

Fax

(303) 309-6715

NPI assigned

Mar 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elena Glekas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Longmont United Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1366465866
  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1023259264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S TAMARAC DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314360",
            "telephone_number": "720-248-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S TAMARAC DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314360",
            "telephone_number": "720-248-4641",
            "fax_number": "303-309-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNITZ",
        "first_name": "ELENA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9147539",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "GLEKAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank A Perlov, D.D.S.,M.S.D.
• Amanda L Perlstein, MS, CCLS, RWWP
• John Perna, M.D.
• Powell Perng, MD
• Juan Pernia Mata
• Beryimar H Perozo Trejo, CAS NLP
• Ellen Perricone, MSW, LSW
• Jessica Perris, COTA
• Melissa Perrott
• Anne Marie Perry

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.