Individual provider Active NPI

Linda Cathleen Elliott, PH.D., LISW-S

  • Social Worker
  • Cleveland Heights, OH
National Provider Identifier
1033483375
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I0029679 Issued in OH
Practice address
2373 Euclid Heights Blvd
Cleveland Heights, OH 44106-2716
Phone
(216) 373-2000
Fax
(216) 373-2020
NPI assigned
Mar 5, 2012
Last updated
Mar 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I0029679 OH Primary

Addresses

Primary practice location

2373 Euclid Heights Blvd
Cleveland Heights, OH 44106-2716

Mailing address

2373 Euclid Heights Blvd
Cleveland Heights, OH 44106-2716
Phone (216) 373-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170424002272 OH Practitioner - Clinical Social Worker 1153607304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
I0029679OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Murtis Taylor Human Services System CurrentSince Mar 1, 2017 Accepting new patients

Locations

13422 Kinsman Rd
Cleveland, OH 44120

9500 Detroit Ave
Cleveland, OH 44102
Phone (216) 283-3865

Organizations & group practices 1

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": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1033483375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 EUCLID HEIGHTS BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441062716",
            "telephone_number": "216-373-2000",
            "fax_number": "216-373-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 EUCLID HEIGHTS BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441062716",
            "telephone_number": "216-373-2000",
            "fax_number": "216-373-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "LINDA",
        "middle_name": "CATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0029679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.