Individual provider Active NPI

Elisabeth Marie Slatt, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1184920621
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1537 Issued in CO
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190403002244 VT Practitioner - Clinical Social Worker 1052652823 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1537COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Adams Center for Mind & Body LLC Clinical CurrentSince Sep 14, 2025 Accepting new patients
Rhizome, LLC Clinical CurrentSince Jan 1, 2025 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.

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

Verify at the official NPI Registry.