Active NPI
Capris Shanteen Elmore, MSW
- Clinical Social Worker
- Hampton, VA
National Provider Identifier
1124804802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0906013002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0906013002 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teachable Moments Therapy Group | Single Specialty | Current | Accepting new patients |
Locations
2 Eaton St
Ste 502
Hampton, VA 23669
Phone (757) 535-9080
Interoperability endpoints
- 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.