Active NPI
Teressa Ellzey, BSW
- Social Worker
- Ripley, MS
National Provider Identifier
1356730592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1005 City Ave N
Ripley, MS 38663-1414 - Phone
- (662) 837-2111
- NPI assigned
- Jan 12, 2015
- Last updated
- Jan 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1005 City Ave N
Ripley, MS 38663-1414
Mailing address
406 Duncan St
Ripley, MS 38663-1801
Phone (601) 470-2262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 977 | Other | MS | EMPLOYEE STAFF NUMBER |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1356730592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 DUNCAN ST",
"city": "RIPLEY",
"state": "MS",
"postal_code": "386631801",
"telephone_number": "601-470-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 CITY AVE N",
"city": "RIPLEY",
"state": "MS",
"postal_code": "386631414",
"telephone_number": "662-837-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLZEY",
"first_name": "TERESSA",
"name_prefix": "Ms.",
"credential": "BSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE STAFF NUMBER",
"identifier": "977",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ripley, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.