Charlene P. Eley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

02428C Issued in NV

Practice address

1261 E 9TH St
Reno, NV 89512-2903

Phone

(775) 322-8900

Fax

(775) 322-8906

NPI assigned

Dec 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Minds LLCGroup PAC ID 5597073601, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Minds, LLC

  • Clinical Social Worker
  • Reno, NV
  • NPI 1700153541
  Medicare reassignment Care Compare group NPD
• Loftwinds Ventures

  • Mental Health Counselor
  • Reno, NV
  • NPI 1689065203
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1376727016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 E 9TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895122903",
            "telephone_number": "775-322-8906",
            "fax_number": "775-322-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 E 9TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895122903",
            "telephone_number": "775-322-8900",
            "fax_number": "775-322-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEY",
        "first_name": "CHARLENE",
        "middle_name": "P.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "02428C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35614",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena M. Nyhan MD Inc
• Elevate Mental Health Wellness
• Elevated Homes LLC
• Elevated Homes LLC
• Elevated Homes LLC
• Stacie Eliopulos, MSW
• Elite Medaccess Inc
• Elite Mobile Radiology & Ekg Service, Inc
• Elite Sports Medicine LLC
• Rotem Elitsur-Fitzpatrick, MD

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.