Individual provider Active NPI

Natalie Elmore, LCSW/LICSW

  • School Social Worker
  • Washington, DC
National Provider Identifier
1245738525
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
LC2000037 Issued in DC
Practice address
1730 R St NW
Washington, DC 20009-2410
Phone
(202) 673-7200
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW77322 CA
Clinical Social Worker 1041C0700X 96925 CA
Clinical Social Worker 1041C0700X 0904013762 VA
School Social Worker 1041S0200X LC2000037 DC Primary

Addresses

Primary practice location

1730 R St NW
Washington, DC 20009-2410

Mailing address

1730 R St NW
Washington, DC 20009-2410
Phone (202) 673-7200

Other practice location 1

4401 Crenshaw Blvd Ste 300
Los Angeles, CA 90043-1200
Phone (323) 290-8360

Other names 1

  • Natalie Wahl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW77322CAMDMental Health Counselor
96925CAMDClinical Social Worker
0904013762VAMDClinical Social Worker
LC2000037DCMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnest Emotional Health & Wellness PastSince Aug 1, 2021 Accepting new patients

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": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1245738525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 R ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092410",
            "telephone_number": "202-673-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 R ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092410",
            "telephone_number": "202-673-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Crenshaw Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900431200",
            "country_code": "US",
            "telephone_number": "323-290-8360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "NATALIE",
        "credential": "LCSW/LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW77322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96925",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013762",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LC2000037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "WAHL",
            "credential": "LCSW/LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.