Individual provider Active NPI

Elizabeth A Charlton, LISW-S

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1376665604
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1101576SUPV Issued in OH
Practice address
1010 Valley St
Dayton, OH 45404-2070
Phone
(937) 654-3350
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 I1101576SUPV OH Primary

Addresses

Primary practice location

1010 Valley St
Dayton, OH 45404-2070

Mailing address

8111 Paragon Rd
Centerville, OH 45458-2132
Phone (937) 654-3350

Other practice location 1

51 Best St
Dayton, OH 45405-4906
Phone (937) 654-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250807003386 OH Practitioner - Clinical Social Worker 0042718298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness and Resilience Center LLCGroup PAC ID 6406200492, 2 clinicians

Practice addresses (Care Compare)

51 Best St
FL 3
Dayton, OH 45405-4906
Phone (937) 673-6988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1101576SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness and Resilience Center LLC CurrentSince May 29, 2025 Accepting new patients
Wellness and Resilience Center LLC CurrentSince May 29, 2025 Accepting new patients

Locations

51 Best St
Fl 3
Dayton, OH 45405
Phone (937) 673-6988

Organizations & group practices 2

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1376665604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 PARAGON RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582132",
            "telephone_number": "937-654-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 VALLEY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454042070",
            "telephone_number": "937-654-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Best St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454054906",
            "country_code": "US",
            "telephone_number": "937-654-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1101576SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.