Individual provider Active NPI

Katharine Bronson Elliott, LCSW

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1366073314
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
231 Sierra Dr SE Ste 7
Albuquerque, NM 87108-5633
Phone
(505) 331-6574
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

231 Sierra Dr SE Ste 7
Albuquerque, NM 87108-5633

Mailing address

1056 Quincy St SE
Albuquerque, NM 87108-3512
Phone (505) 331-6574

Other names 1

  • Bronson Elliott Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Elliott Counseling LLC CurrentSince Jan 14, 2024 Accepting new patients
The Savila Collaborative PastSince Feb 1, 2020 Accepting new patients
Centro Savila LLC PastSince Feb 1, 2020 Accepting new patients

Locations

231 Sierra Dr SE
Ste 7
Albuquerque, NM 87108
Phone (505) 331-6574

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1366073314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 QUINCY ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083512",
            "telephone_number": "505-331-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SIERRA DR SE STE 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085633",
            "telephone_number": "505-331-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KATHARINE",
        "middle_name": "BRONSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRONSON",
            "last_name": "ELLIOTT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.