Individual provider Active NPI

Ellen Elizabeth Tippett, LMSW

  • Social Worker
  • Bel Air, MD
National Provider Identifier
1114521440
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26290 Issued in MD
Practice address
4 North Ave Ste 423
Bel Air, MD 21014-2314
Phone
(410) 449-4955
NPI assigned
Nov 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26290 MD Primary

Addresses

Primary practice location

4 North Ave Ste 423
Bel Air, MD 21014-2314

Mailing address

3205 Uppercoe CT
Abingdon, MD 21009-2812
Phone (443) 206-1747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260409000753 MD Practitioner - Clinical Social Worker 4486129277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivot Point Counseling, LLCGroup PAC ID 2567739170, 11 clinicians

Practice addresses (Care Compare)

4 C N Ave
Suite 423
Bel Air, MD 21014-2334
Phone (410) 449-4955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26290MDMDPharmacist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1114521440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 UPPERCOE CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092812",
            "telephone_number": "443-206-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTH AVE STE 423",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142314",
            "telephone_number": "410-449-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPETT",
        "first_name": "ELLEN",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.