Christopher Elliott, LCSW
Individual provider Active NPI Clinical Social Worker · Saint Louis, MO
NPI 1174919989 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1174919989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2014042500 (MO)
- Practice address
- 6121 N Hanley Rd
Saint Louis, MO 63134-2003 - Phone
- (314) 615-0581
- NPI assigned
- Apr 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201123002247 | MO | Practitioner - Clinical Social Worker | 6709297773 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of St Louis Division of Fiscal Management | Current |
Accepting new patients | |
| County of St Louis Division of Fiscal Management | Current |
Accepting new patients |
Locations
6121 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 522-6410
6121 N Hanley Rd
#C
Saint Louis, MO 63134
Phone (314) 615-0500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2014042500 | MO | Yes |
Addresses
Primary practice location
6121 N Hanley Rd
Saint Louis, MO 63134-2003
Mailing address
6121 N Hanley Rd
Saint Louis, MO 63134-2003
Phone (314) 615-0581
Other providers in Saint Louis, MO
- Angel Angelette Rochelle Ellington
- Justin Ross Ellingworth
- Elliot L Korn MD Inc
- Rod Lee Elliott-Mullens
- Carli J Elliott
- Crystal Renee Elliott
- Darcey Alana Elliott
- Justin Dwayne Elliott
- Kevin Elliott
- Kristen Michelle Elliott
All providers in Saint Louis, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.