Julia Ellifritt, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007031 Issued in OH

Practice address

5905 Brecksville Rd
Independence, OH 44131-1517

Phone

(216) 524-4673

NPI assigned

May 11, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Head Start Housing and Rehabilitation Corporation

  • Psychiatric Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1265092514
  NPD (past)

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1275117640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7519 LIBERTY AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441291304",
            "telephone_number": "216-856-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 BRECKSVILLE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441311517",
            "telephone_number": "216-524-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3818 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032907",
            "country_code": "US",
            "telephone_number": "646-901-8673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIFRITT",
        "first_name": "JULIA",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "007031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M Eimer, LPN
• Laura A Eiseman, CNP
• Mary E Elchlinger, CNP
• Brittany Renee Eldridge, BA, LSW
• Electromed Wellness Group Incorporated
• Beth Ellen Elliott, PT
• Melissa Elliott, APRN-CNP
• Elizabeth Ann Estrada
• Luann Etcher, N.P.
• Eternal Supportive Housing Op

• Clinical Social Worker in Independence, OH
• Providers in Independence, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.