Individual provider Active NPI

Elisa Kessler, LCSW

  • Clinical Social Worker
  • Mobile, AL
National Provider Identifier
1083007249
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1915C Issued in AL
Practice address
1110 Montlimar Dr
Suite 500
Mobile, AL 36609-1723
Phone
(251) 662-9466
Fax
(941) 363-0527
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1915C AL Primary

Addresses

Primary practice location

1110 Montlimar Dr
Suite 500
Mobile, AL 36609-1723

Mailing address

1250 S Tamiami TRL
Suite 201
Sarasota, FL 34239-2221
Phone (941) 363-0878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060111000838 AL Practitioner - Clinical Social Worker 8921021387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1250 S Tamiami TRL
Suite 201
Sarasota, FL 34239-2221

750 Morphy Ave
Fairhope, AL 36532-1899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1915CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Virginia, Inc. Clinical CurrentSince Dec 13, 2024 Accepting new patients
Optum Behavioral Care of Virginia, Inc. Current Accepting new patients
Optum Behavioral Care of Virginia, Inc. Clinical CurrentSince Dec 13, 2024 Accepting new patients

Locations

4800 Whitesport Cir SW
Ste 2
Huntsville, AL 35801
Phone (256) 533-9393

1110 Montlimar Dr
Ste 500
Mobile, AL 36609
Phone (251) 662-9466

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1083007249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL",
            "address_2": "SUITE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-363-0878",
            "fax_number": "941-363-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MONTLIMAR DR",
            "address_2": "SUITE 500",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091723",
            "telephone_number": "251-662-9466",
            "fax_number": "941-363-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "ELISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1915C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.