Active NPI
Elizabeth Blair Essner, ASW
- Social Worker
- Cupertino, CA
National Provider Identifier
1467078188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 83967
- Practice address
- 19000 Homestead Rd BLDG 1
Cupertino, CA 95014-0712 - Phone
- (408) 366-4200
- NPI assigned
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 83967 | CA | Primary |
Addresses
Primary practice location
19000 Homestead Rd BLDG 1
Cupertino, CA 95014-0712
Mailing address
19000 Homestead Rd BLDG 1
Cupertino, CA 95014-0712
Phone (408) 366-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 5, 2023 through Dec 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83967 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1467078188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19000 HOMESTEAD RD BLDG 1",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950140712",
"telephone_number": "408-366-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19000 HOMESTEAD RD BLDG 1",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950140712",
"telephone_number": "408-366-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSNER",
"first_name": "ELIZABETH",
"middle_name": "BLAIR",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-18",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "83967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.