Individual provider Active NPI

Elizabeth Olds Marston, LCSW

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1356860720
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006172 Issued in GA
Practice address
524 Hill St
Athens, GA 30606-3032
Phone
(706) 521-6511
NPI assigned
Sep 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 CSW006172 GA Primary

Addresses

Primary practice location

524 Hill St
Athens, GA 30606-3032

Mailing address

524 Hill St
Athens, GA 30606-3032
Phone (706) 521-6511

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

State licenses

LicenseStateTypeSpecialty
CSW006172GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eleos Counseling, LLC Clinical CurrentSince Dec 22, 2020 Accepting new patients

Locations

524 Hill St
Athens, GA 30606
Phone (706) 201-1478

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1356860720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 HILL ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063032",
            "telephone_number": "706-521-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 HILL ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063032",
            "telephone_number": "706-521-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTON",
        "first_name": "ELIZABETH",
        "middle_name": "OLDS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-16",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.