Elena Huttenlocher, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11204 Issued in SC

Practice address

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Phone

(843) 347-5060

Fax

(843) 347-3959

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Practice Mental Health and Wellness of South Carolina, LLCGroup PAC ID 9537517016, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.24 of 100Reported as group

Quality

86.38

Improvement activities

40

Cost

73.95

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Practice Mental Health and Wellness of South Carolina L.L.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Myrtle Beach, SC
  • NPI 1720762503

  Social Worker

  Medicare reassignment Care Compare group NPD
• Robin H Starr

  • Nurse Practitioner
  • Myrtle Beach, SC
  • NPI 1790284990

  Social Worker

  Medicare reassignment NPD
• Supportive Care of South Carolina LLC

  • Clinical Psychologist
  • Mt Pleasant, SC
  • NPI 1417681412
  Medicare reassignment NPD
• Your Therapy Works LLC,

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1194310664
  NPD Authorized official

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1194175992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WACCAMAW MEDICAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268903",
            "telephone_number": "843-347-5060",
            "fax_number": "843-347-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WACCAMAW MEDICAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268903",
            "telephone_number": "843-347-5060",
            "fax_number": "843-347-3959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3277 Plattmoor Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887728",
            "country_code": "US",
            "telephone_number": "631-681-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTTENLOCHER",
        "first_name": "ELENA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Ezekiel Hudson, D.D.S
• Kmberly Gore Hudson
• Frank F Humbles, MD
• Rita Hunter, PHARM D
• Hunts Home Healthcare
• Lucas Hyler, DO
• Adesuwa Igbinedion, MD
• Natosha I Ihly, FNP-C
• Kimberly Ann Inabinet, MSW
• Indigo Etherapy LLC

• Social Worker in Conway, SC
• Providers in Conway, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.

Verify at the official NPI Registry.