Elliott Blitenthal Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELLIOTT BLITENTHAL THERAPY LLC

Practice address

2153 Starline Meadow PL
Las Vegas, NV 89134-6650

Phone

(952) 393-6415

NPI assigned

Jan 15, 2025

Organization subpart

No

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

Authorized official

Name

Elliott Blitenthal, LCSWNPI 1790279453

Title

President

Phone

(952) 393-6415

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elliott Benjamin Blitenthal, MSW

  • Social Worker
  • Brooklyn, NY
  • NPI 1790279453
  NPD Authorized official

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1245041706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 STARLINE MEADOW PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346650",
            "telephone_number": "952-393-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 STARLINE MEADOW PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346650",
            "telephone_number": "952-393-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT BLITENTHAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "BLITENTHAL",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-393-6415",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlen Ellingsen
• Amanda Ellingsworth
• Elliot Wade MD Inc
• Chewannia R Elliot
• Jolene Elliot
• Alexis Dominique Elliott
• Brittney Nicole Elliott
• Chelsae Elliott
• Crystal Elliott
• Damon Elliott, PTA

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.