NPIMap

Organization Active NPI

Elm Enterprises, LLC

Doing business as Be Present And

  • Clinical Social Worker
  • Escanaba, MI
National Provider Identifier
1104222728
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087072 Issued in MI
Legal business name
ELM ENTERPRISES, LLC
Doing business as
Be Present And
Practice address
1100 Ludington St
Suite 301a
Escanaba, MI 49829-3542
Phone
(906) 233-7477
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Elizabeth Moberg, L.M.S.W.NPI 1982800710
Title
Owner/Therapist
Phone
99062337477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801087072 MI Primary

Addresses

Primary practice location

1100 Ludington St
Suite 301a
Escanaba, MI 49829-3542

Mailing address

1100 Ludington St
Suite 301a
Escanaba, MI 49829-3542
Phone (906) 233-7477

Other identifiers 1

IdentifierTypeStateIssuer
11753205OtherMICAQH

Other names 1

  • Be Present And Doing business as

National Provider Directory

National Provider Directory

Locations

1100 Ludington St
Ste 301A
Escanaba, MI 49829
Phone (906) 233-1848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1104222728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST",
            "address_2": "SUITE 301A",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293542",
            "telephone_number": "906-233-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST",
            "address_2": "SUITE 301A",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293542",
            "telephone_number": "906-233-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "MOBERG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "99062337477",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11753205",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Present And",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.