Elyse Prack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

65067 Issued in CA

Practice address

275 N El Cielo Rd
Suite D408
Palm Springs, CA 92262-6972

Phone

(760) 969-5262

Fax

(760) 969-5946

NPI assigned

Oct 18, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elyse.prack.p5@direct.mydohc.nextgenshare.com

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.

• Desert Medical Group, Inc.

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114918612
  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1043761653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD",
            "address_2": "SUITE D408",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-969-5262",
            "fax_number": "760-969-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD",
            "address_2": "SUITE D408",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-969-5262",
            "fax_number": "760-969-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRACK",
        "first_name": "ELYSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "65067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "65067",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramin Pooyan, D.O.
• Karen L Pope, D.C.
• Elizabeth Popescu, DO
• Patricia Joy Posta, PT
• Bryan Powell, CCC-SLP
• Premier Care Center
• Premier Surgical Assoc Palm Springs Inc
• Premier Urgent Care Centers of California, Inc
• Mirjana Preocanin
• Prerna Mona Khanna MD PC

• Clinical Social Worker in Palm Springs, CA
• Providers in Palm Springs, 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 Oct 18, 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.