Individual provider Active NPI

Elisa Louizos, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1417321316
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22286 Issued in CA
Practice address
1412 S St Ste 100
Sacramento, CA 95811-7155
Phone
(916) 616-8561
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS22286 CA Primary

Addresses

Primary practice location

1412 S St Ste 100
Sacramento, CA 95811-7155

Mailing address

1412 S St Ste 100
Sacramento, CA 95811-7155
Phone (916) 616-8561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS22286CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Center for Psychology, Inc. Clinical CurrentSince Apr 6, 2021 Accepting new patients

Locations

1412 S St
Ste 100
Sacramento, CA 95811
Phone (916) 616-8561

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1417321316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 S ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958117155",
            "telephone_number": "916-616-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 S ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958117155",
            "telephone_number": "916-616-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIZOS",
        "first_name": "ELISA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.