Active NPI
Gregory Donald Elliott, LCSW
- Social Worker
- Parrish, FL
National Provider Identifier
1306257175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW5365
- Practice address
- 12271 US Highway 301 N
Parrish, FL 34219-8410 - Phone
- (941) 776-4000
- NPI assigned
- May 15, 2014
- Last updated
- Oct 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW5365 | FL | Primary |
Addresses
Primary practice location
12271 US Highway 301 N
Parrish, FL 34219-8410
Mailing address
PO Box 997
Palmetto, FL 34220-0997
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1306257175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 997",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342200997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12271 US HIGHWAY 301 N",
"city": "PARRISH",
"state": "FL",
"postal_code": "342198410",
"telephone_number": "941-776-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "GREGORY",
"middle_name": "DONALD",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-15",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW5365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parrish, FL
- Nickolas A Dwyer, DPT
- Jessica Eastman, ARNP, CPNP
- Ethan Frederick Effinger, DC
- Ellenton Discount Pharmacy LLC (Ellenton Discount Pharmacy)
- Ellenton Discount Pharmacy LLC (Ellenton Discount Pharmacy)
- Sarah Emmons, LMHC
- Enigma Mind Counseling LLC
- Everyone Urgent Care LLC
- Eye Center Inc
- Thomas Fallon, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.