Active NPI
Eric T Elvanian, LCSW
- Clinical Social Worker
- Rehoboth Beach, DE
National Provider Identifier
1326222472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019027
- Practice address
- 18766 John J Williams Hwy # 383
Rehoboth Beach, DE 19971-4417 - Phone
- (215) 439-2795
- NPI assigned
- Dec 26, 2007
- Last updated
- Nov 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | CW019027 | PA | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
18766 John J Williams Hwy # 383
Rehoboth Beach, DE 19971-4417
Mailing address
18766 John J Williams Hwy # 383
Rehoboth Beach, DE 19971-4417
Phone (215) 439-2795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035839390004 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Actionaids, Inc. | Social Worker | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667606400000",
"number": "1326222472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18766 JOHN J WILLIAMS HWY # 383",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199714417",
"telephone_number": "215-439-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18766 JOHN J WILLIAMS HWY # 383",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199714417",
"telephone_number": "215-439-2795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELVANIAN",
"first_name": "ERIC",
"middle_name": "T",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-26",
"last_updated": "2022-11-05",
"certification_date": "2022-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019027",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035839390004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.