Elise Antrobus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00003434 Issued in GA

Practice address

707 Whitlock Ave SW Ste C28
Marietta, GA 30064-4655

Phone

(404) 402-2261

NPI assigned

Oct 23, 2019

Last updated

Oct 23, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Antrobus Consulting, LLC

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1962241950
  NPD Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1093358962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 CHASEWOOD PARK LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664296",
            "telephone_number": "404-402-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE C28",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644655",
            "telephone_number": "404-402-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTROBUS",
        "first_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "00003434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Camille Edwards Anthony, PA-C
• Stephanie Michelle Antoline, D.C.
• Katherine L Antoniades, PHARMD
• Richard Lawrence Antonio, M.D.
• Antrobus Consulting, LLC
• Anu Ravikanth MD LLC Dba-Internal Medicine of Marietta (Internal Medicine Of Marietta)
• Anxiety and Stress Management Institute LLC (The Anxiety & Stress Management Institute)
• Sheila Anyaoha
• Manolo Bunag Apanay, M.D.
• Apek ABA Services

• Clinical Social Worker in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.