Active NPI
Elisa Klein, MSW, MPH, LCSWA
- Clinical Social Worker
- Chapel Hill, NC
National Provider Identifier
1154711778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P008620
- Practice address
- 101 Manning Dr # 7160
Chapel Hill, NC 27514-4220 - Phone
- (859) 333-6499
- NPI assigned
- Feb 3, 2015
- Sex
- Female
- Sole proprietor
- No
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 | P008620 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr # 7160
Chapel Hill, NC 27514-4220
Mailing address
101 Manning Dr # 7160
Chapel Hill, NC 27514-4220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P008620 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1154711778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANNING DR # 7160",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR # 7160",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "859-333-6499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "ELISA",
"credential": "MSW, MPH, LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.