Fred H Elsen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW3569 Issued in AZ

Practice address

211 E Third St
Winslow, AZ 86047-3802

Phone

(928) 289-4658

Fax

(928) 289-3775

NPI assigned

Sep 15, 2008

Last updated

Sep 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Changepoint Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Show Low, AZ
  • NPI 1689212508
  NPD (past)
• Community Counseling Centers Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winslow, AZ
  • NPI 1669413175
  NPD (past)

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1376792325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N 5TH AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252817",
            "telephone_number": "928-524-6701",
            "fax_number": "928-524-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E THIRD ST",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860473802",
            "telephone_number": "928-289-4658",
            "fax_number": "928-289-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEN",
        "first_name": "FRED",
        "middle_name": "H",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW3569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Louise Earsing, RD, IBCLC
• Regina Eckhardt, RN
• El Rio Santa Cruz Neighborhood Health Center, Inc. (Elk Ridge Winslow)
• Deanna Eldred, PT
• Bill Elliott
• Leandra Elthie, RN
• Emcare Physician Providers, Inc
• Bryan Andrew Feinstein, MD
• David Michael Ferguson, M.D.
• Alexia Simao Fernandes, BSC, DDS

• Social Worker in Winslow, AZ
• Providers in Winslow, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.