Active NPI
Lisa Elswit, LCSW
- Clinical Social Worker
- West Hartford, CT
National Provider Identifier
1427075365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004284
- Practice address
- 45 S Main St Ste 307
West Hartford, CT 06107-2402 - Phone
- (203) 414-9321
- NPI assigned
- Jul 16, 2006
- Last updated
- Feb 7, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004284 | CT | Primary |
Addresses
Primary practice location
45 S Main St Ste 307
West Hartford, CT 06107-2402
Mailing address
18 Reed CT
Bloomfield, CT 06002-1662
Phone (203) 414-9321
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212296000 | Other | CT | AETNA HMO |
| 181163 | Other | CT | MHN |
| 7496209 | Other | CT | VALUE OPTIONS |
| P1128937 | Other | CT | OXFORD |
| 140004284CT01 | Other | CT | BLUE CROSS/ BLUE SHIELD |
| CBHP6763LE | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 20, 2023 through Jul 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4284 | CT | MD | Medical Physician Assistant |
| 004284 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1427075365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 REED CT",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021662",
"telephone_number": "203-414-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 S MAIN ST STE 307",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072402",
"telephone_number": "203-414-9321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSWIT",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "212296000",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "181163",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "7496209",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1128937",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "140004284CT01",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CBHP6763LE",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.