Vicki Leanne Elliott

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ACSW106930 Issued in CA

Practice address

525 W Avenue P4
Palmdale, CA 93551-3743

Phone

(661) 949-0131

NPI assigned

Jan 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• College Community Services

  • Community/Behavioral Health Agency
  • Tehachapi, CA
  • NPI 1831870500
  NPD (past)

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1033759808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W AVENUE P4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513743",
            "telephone_number": "661-949-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W AVENUE P4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513743",
            "telephone_number": "661-949-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "VICKI",
        "middle_name": "LEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "106930",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW106930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASW",
            "identifier": "106930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Surgery Center, LLC
• Elite Surgery Medical Group
• David Elizarraraz
• Ann Marie Elkins
• Estela Ellado
• Tyler Elmore
• Essam Hassan Elshewi
• Nancy Elwell Cox
• Elwood Home Care LLC
• Joan Elwood, PSY.D.

• Clinical Social Worker in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.