Active NPI
Elevens Wellness LLC
- Clinical Social Worker
- Eau Claire, WI
National Provider Identifier
1033934948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryNPI 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.