Elevation Equitherapy LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ELEVATION EQUITHERAPY LLC

Practice address

303 Dewey Dr
Annapolis, MD 21401-2246

Phone

(443) 776-1863

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Erin Teigen, MSW, LCSW-C, LCSWNPI 1669068086

Title

Director

Phone

(804) 586-4278

Specialties & licenses 2

Addresses

Practitioners 1

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

• Erin Teigen, MSW, LCSW, LCSW-C

  • Clinical Social Worker
  • Appomattox, VA
  • NPI 1669068086
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1245089879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MOUNTAIN VIEW RD",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245229856",
            "telephone_number": "804-586-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 DEWEY DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012246",
            "telephone_number": "443-776-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION EQUITHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "TEIGEN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-586-4278",
        "authorized_official_credential": "MSW, LCSW-C, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul T Elder, MD
• Selena Eldridge
• Prisca Elendu
• Elevate Life Women'S, LLC
• Elevate Life, Inc.
• Marwa Elfadaly, PHARMD
• Elite Excellence LLC
• Elite Excellence LLC
• Elizabeth a Parker MD LLC
• Elizabeth a Parker MD LLC

• Adolescent and Children Mental Health Clinic/Center in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Adolescent and Children Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.