Jacquelyn Kiser Elkins, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17067 Issued in MD

Practice address

5058 Dorsey Hall Dr Ste 103
Ellicott City, MD 21042-7850

Phone

(410) 884-9200

NPI assigned

May 12, 2018

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 names 1

• Jacquelyn Marie Kiser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526083200000",
    "number": "1407346760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 MACBETH WAY",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846241",
            "telephone_number": "410-294-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5058 DORSEY HALL DR STE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427850",
            "telephone_number": "410-884-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "JACQUELYN",
        "middle_name": "KISER",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-12",
        "last_updated": "2018-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "KISER",
            "middle_name": "MARIE",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elements of Wellness LLC
• Arn Eliasson, MD
• Elite Physical Therapy LLC
• Elizabeths Home Care Services LLC
• Mohamed Elkady
• Ellicott Cir Acupuncture LLC
• Ellicott City Aesthetics LLC
• Ellicott City Ambulatory Surgery Center, LLLP (Ellicott City Ambulatory Surgery Center)
• Ellicott City Anesthesia Associates, LLC
• Ellicott City Dialysis Center LLC

• Clinical Social Worker in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2018; 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.