Active NPI
Andrea Elliot
- Social Worker
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22164
- Practice address
- 1003 W 7TH St
500
Frederick, MD 21701-4106 - Phone
- (301) 682-2472
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 22164 | MD | Primary |
Addresses
Primary practice location
1003 W 7TH St
500
Frederick, MD 21701-4106
Mailing address
7474 Greenway Center Dr
730
Greenbelt, MD 20770-3504
Phone (301) 345-1022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104100000X | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1003 W 7TH St
Suite 500
Frederick, MD 21701-8512
Phone (301) 345-1022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22164 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavioral Health, Inc | Current | Accepting new patients |
Locations
1003 W 7th St
Ste 500
Frederick, MD 21701
Phone (240) 297-1567
7474 Greenway Center Dr
Ste 730
Greenbelt, MD 20770
Phone (301) 982-3437
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": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1396271383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR",
"address_2": "730",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703504",
"telephone_number": "301-345-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W 7TH ST",
"address_2": "500",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014106",
"telephone_number": "301-682-2472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOT",
"first_name": "ANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "22164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104100000X",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.