Ellen Elgart, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-05943 Issued in NM

Practice address

2991 Plaza Azul
Santa Fe, NM 87507-5337

Phone

(505) 424-4335

Fax

(505) 424-4335

NPI assigned

Apr 22, 2009

Last updated

Apr 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Zia Community Cares, LLC

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1831710490
  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1467696377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 PLAZA AZUL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075337",
            "telephone_number": "505-424-4335",
            "fax_number": "505-424-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2991 PLAZA AZUL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075337",
            "telephone_number": "505-424-4335",
            "fax_number": "505-424-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGART",
        "first_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-05943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldorado Audiology and Hearing Center
• Eldorado Family Health LLC
• Eldorado Physical Therapy PC
• Tara Eldridge, LCSW
• Maqueita Eleazer, MA, LPAT, ATR-BC
• Julia Elgatian Romero, BMS
• Jada Elias, RBT
• Elisabeth Barkey MD Inc
• Elizabeth a. Buck (Journey Guidance Services)
• Elizabeth C. Stirling LLC

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.