Active NPI
Elliott Aeron Zell, LISW-S
- Clinical Social Worker
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2304963-SUPV
- Practice address
- 630 E Broad St
Columbus, OH 43215-3999 - Phone
- (614) 618-5955
- NPI assigned
- Aug 20, 2020
- Last updated
- Mar 11, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2304963-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Ohio, Inc | Current | Accepting new patients | |
| Optum Behavioral Care of Ohio, Inc. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of Ohio, Inc | Current | Accepting new patients | |
| Optum Behavioral Care of Ohio, Inc | Past | Accepting new patients | |
| Real Psychological Services | Past | 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
- 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.
-
dba The Center for Cognitive and Behavioral Therapy of Ohio
- Counseling Psychologist
- Columbus, OH
- NPI 1285400978
-
dba Amigo Family Counseling of Ohio
- Counseling Psychologist
- Columbus, OH
- NPI 1982470662
-
- Clinical Social Worker
- Maryland Heights, MO
- NPI 1528945623
-
dba Affirmations Psychological Services of Ohio
- Counseling Psychologist
- Columbus, OH
- NPI 1952177644
-
- Counseling Psychologist
- Columbus, OH
- NPI 1972314151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.