Active NPI
Elizabeth Lauren Mellem, LSW
- Social Worker
- Thornton, CO
National Provider Identifier
1083945273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 518
- Practice address
- 8801 Lipan St
Thornton, CO 80260-4912 - Phone
- (303) 412-3654
- NPI assigned
- Jan 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 518 | CO | Primary |
Addresses
Primary practice location
8801 Lipan St
Thornton, CO 80260-4912
Mailing address
1160 York St
Denver, CO 80206-3017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 518 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1083945273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 YORK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802063017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 LIPAN ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802604912",
"telephone_number": "303-412-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLEM",
"first_name": "ELIZABETH",
"middle_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-27",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.