Individual provider Active NPI

Capris Shanteen Elmore, MSW

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1124804802
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0906013002 Issued in VA
Practice address
2 Eaton St Ste 502
Hampton, VA 23669-4055
Phone
(757) 535-9080
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0906013002 VA Primary

Addresses

Primary practice location

2 Eaton St Ste 502
Hampton, VA 23669-4055

Mailing address

2 Eaton St Ste 502
Hampton, VA 23669-4055
Phone (757) 535-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0906013002VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teachable Moments Therapy Group Single Specialty CurrentSince Oct 13, 2024 Accepting new patients

Locations

2 Eaton St
Ste 502
Hampton, VA 23669
Phone (757) 535-9080

Interoperability endpoints

  • Direct secure messaging: capris.elmore@489656322949124.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1124804802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EATON ST STE 502",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694055",
            "telephone_number": "757-535-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EATON ST STE 502",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694055",
            "telephone_number": "757-535-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "CAPRIS",
        "middle_name": "SHANTEEN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906013002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.