Elizabeth A. Soukup-Taylor, LCSW, CSAC, CETP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009155 Issued in VA

Practice address

406 Chatham Square Office Park Ste 102
Fredericksburg, VA 22405-2585

Phone

(540) 850-4930

NPI assigned

Sep 11, 2015

Last updated

Sep 11, 2015By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassionate Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fredericksburg, VA
  • NPI 1053872234
  Authorized official Same address or phone

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1306214051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 CAMBRIDGE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071264",
            "telephone_number": "540-850-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CHATHAM SQUARE OFFICE PARK STE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052585",
            "telephone_number": "540-850-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUKUP-TAYLOR",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW, CSAC, CETP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Sorenson, BCBA, LBA
• Kimberley Beasley Sorrell, NP-C
• Kimberly Kube Sorrell, HIS
• Jose Jesus Sosa
• Costa George Soteropoulos, M.D.
• Soulutions LLC
• Source Fountain Wellness LLC
• Southpointe OBGYN, LLC
• Southside Internal Medicine of Fredericksburg PC
• Southside Primary Care, Inc. (Southside Internal Medicine)

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

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