Organization Active NPI

Elevens Wellness LLC

  • Clinical Social Worker
  • Eau Claire, WI
National Provider Identifier
1033934948
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELEVENS WELLNESS LLC
Practice address
1412 Altoona Ave
Eau Claire, WI 54701-4279
Phone
(715) 210-9284
Fax
(715) 972-4422
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Brita Spencer, LICSW
Title
Owner
Phone
(844) 482-7296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1412 Altoona Ave
Eau Claire, WI 54701-4279

Mailing address

1412 Altoona Ave
Eau Claire, WI 54701-4279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1033934948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 ALTOONA AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014279",
            "fax_number": "715-972-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 ALTOONA AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014279",
            "telephone_number": "715-210-9284",
            "fax_number": "715-972-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVENS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "BRITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-482-7296",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.