Individual provider Active NPI

Audrey Elkinson, LCSW-C, ATR-BC

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1194126946
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17260 Issued in MD
Practice address
849 Quince Orchard Blvd
Suite I
Gaithersburg, MD 20878-1678
Phone
(240) 274-5680
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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 17260 MD Primary

Addresses

Primary practice location

849 Quince Orchard Blvd
Suite I
Gaithersburg, MD 20878-1678

Mailing address

849 Quince Orchard Blvd.
Suite I
Gaithersburg, MD 20878
Phone (240) 274-5680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190719000954 DC Practitioner - Clinical Social Worker 3779819388 Reassigns benefits to 1 organization
I20210120001357 MD Practitioner - Clinical Social Worker 3779819388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

19805 Executive Park Cir
Germantown, MD 20874-2649
Phone (240) 949-6808

6076 Franconia Rd
Suite D
Alexandria, VA 22310-1768
Phone (703) 828-9054

801 Cromwell Park Dr
Suite 11
Glen Burnie, MD 21061-2539
Phone (443) 567-7538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jun 19, 2019 Accepting new patients

Locations

5410 Lynx Ln
Ste 285
Columbia, MD 21044
Phone (410) 740-3240

801 Cromwell Park Dr
Ste 11
Glen Burnie, MD 21061
Phone (240) 949-6808

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1194126946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 QUINCE ORCHARD BLVD.",
            "address_2": "SUITE I",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20878",
            "telephone_number": "240-274-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 QUINCE ORCHARD BLVD",
            "address_2": "SUITE I",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781678",
            "telephone_number": "240-274-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINSON",
        "first_name": "AUDREY",
        "credential": "LCSW-C, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.