Individual provider Active NPI

Elysia Williams Burley, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1447480546
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3634 Issued in KY
Practice address
411 E Chestnut St # 5A6B
Louisville, KY 40202-1713
Phone
(502) 588-4940
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 3634 KY Primary

Addresses

Primary practice location

411 E Chestnut St # 5A6B
Louisville, KY 40202-1713

Mailing address

PO Box 776347
Chicago, IL 60677-6347
Phone (502) 588-9490

Other identifiers 1

IdentifierTypeStateIssuer
30604011MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120518000595 KY Practitioner - Clinical Social Worker 2466615919 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc Clinical CurrentSince Aug 15, 2020 Accepting new patients
Norton Hospitals, Inc CurrentSince Aug 15, 2020 Accepting new patients
Norton Children's Medical Group, LLC Clinical Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Nov 11, 2022 Accepting new patients
Norton Children's Medical Group, LLC Clinical CurrentSince Nov 11, 2022 Accepting new patients

Locations

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 585-7450

411 E Chestnut St
#5A6B
Louisville, KY 40202
Phone (502) 588-4940

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

Interoperability endpoints

  • Direct secure messaging: ewilliams148444@direct.nortonhealthcare.org

Organizations & group practices 5

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1447480546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "telephone_number": "502-588-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT ST # 5A6B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021713",
            "telephone_number": "502-588-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLEY",
        "first_name": "ELYSIA",
        "middle_name": "WILLIAMS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30604011",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.