Individual provider Active NPI

Paige Morgan Van Dan Elzen, LCSW-A

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1093543498
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020671 Issued in NC
Practice address
1829 E Franklin St Ste 800D
Chapel Hill, NC 27514-5868
Phone
(919) 704-8449
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 P020671 NC Primary

Addresses

Primary practice location

1829 E Franklin St Ste 800D
Chapel Hill, NC 27514-5868

Mailing address

1829 E Franklin St Ste 800D
Chapel Hill, NC 27514-5868
Phone (919) 704-8449

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

LicenseStateTypeSpecialty
P020671NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1093543498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 800D",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145868",
            "telephone_number": "919-704-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 800D",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145868",
            "telephone_number": "919-704-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAN ELZEN",
        "first_name": "PAIGE",
        "middle_name": "MORGAN",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.