Individual provider Active NPI

Natasha Elliott

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1396122644
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9923194 Issued in CO
Practice address
3401 Quebec St Ste 7600
Denver, CO 80207-2345
Phone
(520) 609-2674
NPI assigned
May 6, 2015
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9923194 CO Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

3401 Quebec St Ste 7600
Denver, CO 80207-2345

Mailing address

19760 E 39TH Ave
Denver, CO 80249-7351
Phone (520) 609-2674

Other identifiers 1

IdentifierTypeStateIssuer
LCSW9923194OtherCODORA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250917000403 MI Practitioner - Clinical Social Worker 1456723709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saginaw County Community Mental Health AuthorityGroup PAC ID 7719037332, 25 clinicians

Practice addresses (Care Compare)

500 Hancock St
Saginaw, MI 48602-4224
Phone (989) 797-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9923194COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw County Community Mental Health Authority CurrentSince Jul 11, 2025 Accepting new patients

Locations

500 Hancock St
Saginaw, MI 48602
Phone (989) 797-3400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1396122644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19760 E 39TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497351",
            "telephone_number": "520-609-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 7600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072345",
            "telephone_number": "520-609-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "NATASHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9923194",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "LCSW9923194",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.