NPIMap

Organization Active NPI

Elliott & Associates LLC

  • Community/Behavioral Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1114207586
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15876 Issued in MD
Legal business name
ELLIOTT & ASSOCIATES LLC
Practice address
309 Stan Fey Dr
Upper Marlboro, MD 20774-8741
Phone
(301) 894-0306
NPI assigned
Aug 17, 2011
Last updated
Aug 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Mr. Allen Elliott, LCSW-CNPI 1134372014
Title
Licensed Clinical Social Worker
Phone
(202) 489-4115

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
Community/Behavioral Health Agency 251S00000X 15876 MD Primary

Addresses

Primary practice location

309 Stan Fey Dr
Upper Marlboro, MD 20774-8741

Mailing address

309 Stan Fey Dr
Upper Marlboro, MD 20774-8741
Phone (301) 894-0306

National Provider Directory

National Provider Directory

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": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1114207586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 STAN FEY DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748741",
            "telephone_number": "301-894-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 STAN FEY DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748741",
            "telephone_number": "301-894-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "202-489-4115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "15876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.