Lisa Elledge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1742 Issued in OK

Practice address

1401 W Pawnee St
Cleveland, OK 74020-3033

Phone

(918) 358-2501

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114124419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 435G",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740209671",
            "telephone_number": "918-358-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W PAWNEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203033",
            "telephone_number": "918-358-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEDGE",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Gregory a. Fielding , P.C.
• Emma Duhig, RBT
• Dwight Turner DDS PC
• Adrian Dean Eddings
• Cheyenne Eddings
• Envision Therapies LLC
• Perry William Evans Jr., DO
• Selina Susanne Factor
• Olivia Grace Farrow, LMSW-P U/S
• Elizabeth Edison Fielding, PT

• Clinical Social Worker in Cleveland, OK
• Providers in Cleveland, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.