Individual provider Active NPI

Ellen Marie Frison, LCSW

  • Clinical Social Worker
  • Saltillo, MS
National Provider Identifier
1346782497
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C7605 Issued in MS
Practice address
143C Willowbrook Dr
Saltillo, MS 38866-6896
Phone
(662) 231-4711
NPI assigned
Nov 7, 2016
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C7605 MS Primary

Addresses

Primary practice location

143C Willowbrook Dr
Saltillo, MS 38866-6896

Mailing address

302 S Spring St
Tupelo, MS 38804-4853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20170918000852 MS Practitioner - Clinical Social Worker 8729352505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

143 C Willowbrook Dr
Saltillo, MS 38866-6896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C7605MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hearts of Healing Therapies, LLC Clinical CurrentSince Jan 23, 2021 Accepting new patients
Core Rehabilitation, LLC Past Accepting new patients
New Light Couseling Clinical Past Accepting new patients

Locations

143C Willowbrook Dr
Saltillo, MS 38866
Phone (662) 205-0655

Organizations & group practices 3

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1346782497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S SPRING ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143C WILLOWBROOK DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388666896",
            "telephone_number": "662-231-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISON",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltillo, MS

Sources for this page

Verify at the official NPI Registry.