Lisa Ellis, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4031 Issued in KS

Practice address

3601 SW 29TH St
Ste 108
Topeka, KS 66614-2015

Phone

(785) 271-6551

Fax

(785) 271-6553

NPI assigned

Jun 25, 2009

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 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Clinical Social Worker

Education

University of Kansas School of Med (KC/Wich/Sal), 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lisa Ellis Lscsw LLC

  • Clinical Social Worker
  • Hays, KS
  • NPI 1881404028
  Medicare reassignment NPD Authorized official
• Western Kansas Therapy Associates, LLC

  • Clinical Psychologist
  • Plainville, KS
  • NPI 1700542784
  Medicare reassignment
• Aspire Psychotherapy Services

  • Clinical Social Worker
  • Topeka, KS
  • NPI 1184035081
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1083842280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 29TH ST",
            "address_2": "STE 108",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142015",
            "telephone_number": "785-271-6551",
            "fax_number": "785-271-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 29TH ST",
            "address_2": "STE 108",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142015",
            "telephone_number": "785-271-6551",
            "fax_number": "785-271-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "110661007",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200613480B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Lance Elliott, DO
• Jocelyn R. Elliott, LSCSW
• Kolbie H Elliott, TLMLP
• Colleen Ellis, LSCSW
• Jennifer Ann Ellis
• Susan Shereen Ellis, LSCSW
• Whitney Ellis, LSCSW
• Kaeli Ellison, PHARMD
• Jack Ellzey
• Sarah B Elmer, APRN

• Clinical Social Worker in Topeka, KS
• Providers in Topeka, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.