Brandy Elmore LCSW Counseling Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRANDY ELMORE LCSW COUNSELING SERVICES PLLC

Practice address

2103 E Washington St Ste 2F
Bloomington, IL 61701-4365

Phone

(309) 201-5201

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Brandy Elizabeth Elmore, MA, LCSWNPI 1558716407

Title

Therapist

Phone

(309) 201-5201

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandy Elmore, MA, LCSW

  • Clinical Social Worker
  • Bloomington, IL
  • NPI 1558716407
  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1104693910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 MORNINGSIDE DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046234",
            "telephone_number": "217-377-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST STE 2F",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014365",
            "telephone_number": "309-201-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY ELMORE LCSW COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "309-201-5201",
        "authorized_official_credential": "MA, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Bral
• Lana Branch
• Branching Off, Inc
• Thomas Richard Brander, MD
• Elora Brandon
• Bailey H Branham
• Jeanie J Brantley, PT
• Kristen Braun, NP
• Cassandra Bray
• Kayla Bray

• Clinical Social Worker in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.