Individual provider Active NPI

Marisela E. Elliott, LCSW, LAC

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1336481910
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09929257 Issued in CO
Practice address
2140 N 12TH St
Grand Junction, CO 81501-2916
Phone
(970) 579-0003
Fax
(970) 433-7671
NPI assigned
Mar 21, 2013
Last updated
Aug 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002107 CO
Social Worker 104100000X 7826-M NV
Clinical Social Worker 1041C0700X CSW.09929257 CO Primary

Addresses

Primary practice location

2140 N 12TH St
Grand Junction, CO 81501-2916

Mailing address

2140 N 12TH St
Grand Junction, CO 81501-2916
Phone (970) 209-4061

Other practice location 1

2377 Robins Way
Montrose, CO 81401-5901
Phone (970) 964-3500

Other identifiers 1

IdentifierTypeStateIssuer
9000210999MedicaidCO

Other names 1

  • Chela Elliott Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912001984 CO Practitioner - Clinical Social Worker 2567826316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0002107COMDAddiction (Substance Use Disorder) Counselor
7826-MNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Psychiatry of Colorado Inc. CurrentSince Sep 12, 2025 Accepting new patients
Lifespan Psychiatry of Colorado Current Accepting new patients
Lifespan Psychiatry of Colorado Inc. CurrentSince Sep 12, 2025 Accepting new patients
Northern Horizon Behavioral Health PastSince Aug 23, 2024 Accepting new patients
Northern Horizon Behavioral Health Addiction (Substance Use Disorder) PastSince Feb 23, 2025 Accepting new patients
Grand Valley Wellness, LLC PastSince Feb 1, 2024 Accepting new patients
Churchill Council on Alcohol & Other Drugs PastSince Mar 9, 2021 Accepting new patients
Churchill Council on Alcohol & Other Drugs PastSince Mar 21, 2021 Accepting new patients
Voans Senior Community Care of Colorado, Inc. Past Accepting new patients

Locations

236 Cottonwood St
Delta, CO 81416
Phone (970) 874-7681

555 Meeker St
Delta, CO 81416
Phone (970) 201-1467

2140 N 12th St
Grand Junction, CO 81501
Phone (970) 712-6059

Organizations & group practices 9

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1336481910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012916",
            "telephone_number": "970-209-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012916",
            "telephone_number": "970-579-0003",
            "fax_number": "970-433-7671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2377 Robins Way",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814015901",
            "country_code": "US",
            "telephone_number": "970-964-3500",
            "fax_number": "970-252-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MARISELA",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002107",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "7826-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000210999",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELA",
            "last_name": "ELLIOTT",
            "credential": "LCSW, LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.