Elizabeth Ashley Hupp, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013635 Issued in VA

Practice address

7211 Cloverdale Rd
Roanoke, VA 24019-8221

Phone

(540) 966-5808

NPI assigned

Feb 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Ashley Miller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mainstream Mental Health Services

  • Community/Behavioral Health Agency
  • Roanoke, VA
  • NPI 1700150166
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1144975574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WHITEFIELD CT",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534324",
            "telephone_number": "540-339-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 CLOVERDALE RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240198221",
            "telephone_number": "540-966-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPP",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MILLER",
            "middle_name": "ASHLEY",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David S. Hunt, M.D.
• Ebony Shonte Hunt, RN
• Jessica Hunt
• Michael Guy Hunt, D.D.S.
• Sean E Hunter, CRNA
• Taressa Hurd, OTR/L
• Cristina Hurley, MD
• Kari Beth Hurley, PA
• Kelsiann Hurley E Hurley
• Bobbie-Jo Hurt, LPC, CSAC, MA, QMHP

• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.