Individual provider Active NPI

Elliott Aeron Zell, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1093327082
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304963-SUPV Issued in OH
Practice address
630 E Broad St
Columbus, OH 43215-3999
Phone
(614) 618-5955
NPI assigned
Aug 20, 2020
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 I.2304963-SUPV OH Primary

Addresses

Primary practice location

630 E Broad St
Columbus, OH 43215-3999

Mailing address

630 E Broad St
Columbus, OH 43215-3999
Phone (614) 618-5955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20240424003215 OH Practitioner - Clinical Social Worker 6901246941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2304963-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc Current Accepting new patients
Optum Behavioral Care of Ohio, Inc. Clinical CurrentSince Apr 1, 2024 Accepting new patients
Optum Behavioral Care of Ohio, Inc CurrentSince Apr 1, 2024 Accepting new patients
Optum Behavioral Care of Ohio, Inc Past Accepting new patients
Real Psychological Services PastSince Apr 1, 2025 Accepting new patients

Locations

4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 238-0837

620 E Broad St
Ste 301
Columbus, OH 43215
Phone (614) 674-6076

Interoperability endpoints

  • Direct secure messaging: elliott.zell.1@28621.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1093327082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153999",
            "telephone_number": "614-618-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153999",
            "telephone_number": "614-618-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELL",
        "first_name": "ELLIOTT",
        "middle_name": "AERON",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304963-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.