Individual provider Active NPI

Elizabeth Harcourt, LCSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1457457376
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4589 Issued in TN
Practice address
2600 Poplar Ave
Suite 324
Memphis, TN 38112-3851
Phone
(901) 324-0686
Fax
(901) 324-0688
NPI assigned
Sep 16, 2006
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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 4589 TN Primary

Addresses

Primary practice location

2600 Poplar Ave
Suite 324
Memphis, TN 38112-3851

Mailing address

2600 Poplar Ave
Suite 324
Memphis, TN 38112-3851
Phone (901) 324-0686

Other identifiers 1

IdentifierTypeStateIssuer
Q038663MedicaidTN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4589TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Solutions LLC Clinical Past Accepting new patients

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1457457376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 POPLAR AVE",
            "address_2": "SUITE 324",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123851",
            "telephone_number": "901-324-0686",
            "fax_number": "901-324-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 POPLAR AVE",
            "address_2": "SUITE 324",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123851",
            "telephone_number": "901-324-0686",
            "fax_number": "901-324-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARCOURT",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q038663",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.