Active NPI
Elisabeth Marie Slatt, LCSW
- Clinical Social Worker
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1537
- Practice address
- 331 S Meldrum St
Fort Collins, CO 80521-2602 - Phone
- (970) 472-4204
- Fax
- (970) 674-7023
- NPI assigned
- Feb 1, 2011
- Last updated
- Feb 1, 2011
- 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 | 1537 | CO | Primary |
Addresses
Primary practice location
331 S Meldrum St
Fort Collins, CO 80521-2602
Mailing address
331 S Meldrum St
Fort Collins, CO 80521-2602
Phone (970) 472-4204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
28 Howard St
Suite 305
Burlington, VT 05401-5986
Phone (802) 395-1769
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1537 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Adams Center for Mind & Body LLC | Clinical | Current | Accepting new patients |
| Rhizome, LLC | Clinical | Current | Accepting new patients |
| Sexual Assault Victim Advocate Center | Past | Accepting new patients |
Locations
28 Howard St
Ste 305
Burlington, VT 05401
Phone (802) 357-2948
1233 Shelburne Rd
Ste D2
South Burlington, VT 05403
Phone (802) 859-1577
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Burlington, VT
- NPI 1619711330
-
- Social Worker
- Fort Collins, CO
- NPI 1588831044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1184920621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 S MELDRUM ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212602",
"telephone_number": "970-472-4204",
"fax_number": "970-674-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S MELDRUM ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212602",
"telephone_number": "970-472-4204",
"fax_number": "970-674-7023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATT",
"first_name": "ELISABETH",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "1537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.