Elisa Kristine Weber, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4050 Issued in OR

Practice address

5240 Saratoga St
Eugene, OR 97405-3533

Phone

(541) 968-6106

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Elisa Kristine Weber-Holloway Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448150400000",
    "number": "1235207812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 SARATOGA ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053533",
            "telephone_number": "541-968-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 SARATOGA ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053533",
            "telephone_number": "541-968-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ELISA",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500664991",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "WEBER-HOLLOWAY",
            "middle_name": "KRISTINE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Webb
• Michael David Webb, M.D.
• Patricia Webb, BSHED, M.S.H.ED
• Cadence Webber
• Brook Rachel Weber, BNS, RN, QMHP, PMHNP
• Joseph Weber, DPT
• Peter Weber, MD
• Anais Webster
• Diane H Webster, MS, CCC-SLP
• Drew D Webster, DDS

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.