Active NPI
M Elaine Loughlin, MSW
- Clinical Social Worker
- State College, PA
National Provider Identifier
1184833287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00005897
- Practice address
- 101 E Beaver Ave
Suite 9
State College, PA 16801-4922 - Phone
- (360) 643-3589
- NPI assigned
- May 22, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW017677 | PA | |
| Clinical Social Worker | 1041C0700X | 00005897 | WA | Primary |
| Marriage & Family Therapist | 106H00000X | LF00001407 | WA |
Addresses
Primary practice location
101 E Beaver Ave
Suite 9
State College, PA 16801-4922
Mailing address
129 W Linn St
Bellefonte, PA 16823-1639
Phone (360) 643-3589
Other names 1
- Ms. M Elaine Loughlin
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW017677 | PA | MD | Clinical Social Worker |
| 00005897 | WA | MD | Clinical Social Worker |
| LF00001407 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Mechanix LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Milford, DE
- NPI 1962909499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1184833287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 W LINN ST",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168231639",
"telephone_number": "360-643-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E BEAVER AVE",
"address_2": "SUITE 9",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168014922",
"telephone_number": "360-643-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUGHLIN",
"first_name": "M",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW017677",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "00005897",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00001407",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "M",
"last_name": "LOUGHLIN",
"middle_name": "ELAINE",
"prefix": "MS.",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.