Individual provider Active NPI

Marc Joseph McElligott I, MSW

  • Social Worker
  • South Bend, IN
National Provider Identifier
1134812050
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1001 N Hickory Rd Ste 3
South Bend, IN 46615-3700
Phone
(574) 314-5987
NPI assigned
May 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 IN Primary

Addresses

Primary practice location

1001 N Hickory Rd Ste 3
South Bend, IN 46615-3700

Mailing address

52277 Mallard Pointe Dr
Granger, IN 46530-6233
Phone (574) 343-9062

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Pointe LLC CurrentSince May 28, 2023 Accepting new patients
Lincoln Counseling, PC Social Worker CurrentSince Aug 6, 2026 Accepting new patients

Locations

113 Lincolnway E
Mishawaka, IN 46544
Phone (574) 255-4976

1001 N Hickory Rd
Ste 3
South Bend, IN 46615
Phone (574) 232-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24035/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marcus.mcelligott.1@24035.direct.athenahealth.com

Organizations & group practices 2

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": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1134812050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52277 MALLARD POINTE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465306233",
            "telephone_number": "574-343-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N HICKORY RD STE 3",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153700",
            "telephone_number": "574-314-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELLIGOTT",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.