Active NPI
Elisabeth J Kelner, LISW
- Clinical Social Worker
- Taos, NM
National Provider Identifier
1134555816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- X-08071
- Practice address
- 1337 Gusdorf Road, Suite E
Suite E
Taos, NM 87571 - Phone
- (575) 758-4297
- Fax
- (575) 751-7237
- NPI assigned
- Sep 25, 2013
- 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 | X-08071 | NM | Primary |
Addresses
Primary practice location
1337 Gusdorf Road, Suite E
Suite E
Taos, NM 87571
Mailing address
4 Nacoma Road
El Prado, NM 87529
Phone (575) 779-0282
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-08071 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1134555816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 NACOMA ROAD",
"city": "EL PRADO",
"state": "NM",
"postal_code": "87529",
"telephone_number": "575-779-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 GUSDORF ROAD, SUITE E",
"address_2": "SUITE E",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "575-758-4297",
"fax_number": "575-751-7237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELNER",
"first_name": "ELISABETH",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "X-08071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.