Alice Jo Elmer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW22397 Issued in CA

Practice address

MCCS, BHB, Sacc
BLDG 1437 Door 6
Twentynine Palms, CA 92278

Phone

(760) 830-6986

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1093300725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1142",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922770928",
            "telephone_number": "760-406-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCCS, BHB, SACC",
            "address_2": "BLDG 1437 DOOR 6",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92278",
            "telephone_number": "760-830-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMER",
        "first_name": "ALICE",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW22397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alice.elmer@usmc.mil",
            "affiliation": "N",
            "endpointDescription": "military email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "military email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "military email",
            "address_1": "MCCS, BHB, SACC",
            "address_2": "BLDG 1437 DOOR 6",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David James Dyer, D.D.S.
• Phyllis Jo Ann Dykes, RN, MSN, PMHCNS
• C.W. Uriah Edmondson, D.D.S.
• Philip J Efthemis, DPT
• Elite Behavioral Solutions LLC
• Jay Erickson, MD
• Faith Home Healthcare LLC
• Robert Farrer, PHARMD
• Samantha Jean Filipovich, CRNA, DNP
• Elizabeth Lynn Flores

• Clinical Social Worker in Twentynine Palms, CA
• Providers in Twentynine Palms, 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 Mar 4, 2021; 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.