Tamar Ellentuck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09929668 Issued in CO

Practice address

155 Inverness Dr W Ste 100
Englewood, CO 80112-5000

Phone

(303) 730-8858

NPI assigned

Oct 10, 2023

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Arapahoe Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parker, CO
  • NPI 1437763968
  NPD
• Arapahoe Mental Health Center, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Littleton, CO
  • NPI 1568078517
  NPD
• Arapahoe Mental Health Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Watkins, CO
  • NPI 1710868609
  NPD

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1114708690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 INVERNESS DR E STE 105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125125",
            "telephone_number": "303-730-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 INVERNESS DR W STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125000",
            "telephone_number": "303-730-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENTUCK",
        "first_name": "TAMAR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Oculoplastic Surgery, PC
• Elizabeth L. Ham, M.D., P.C.
• Elkennedy, PLLC
• Naomi Elkins
• Micah Ellalasingham
• Ellington Eyecare PLLC
• Ellington Eyecare PLLC
• John Elliott, DO
• John Paul Elliott, M.D.
• Taylor Elliott

• Clinical Social Worker in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.