Individual provider Active NPI

Elisha Mairet, LCSW

  • Clinical Social Worker
  • Woodstock, IL
National Provider Identifier
1487001830
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018412 Issued in IL
Practice address
13402 Perkins Rd
Woodstock, IL 60098-7324
Phone
(815) 546-1601
NPI assigned
May 16, 2016
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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 149018412 IL Primary

Addresses

Primary practice location

13402 Perkins Rd
Woodstock, IL 60098-7324

Mailing address

13402 Perkins Rd
Woodstock, IL 60098-7324
Phone (815) 546-1601

Other practice location 1

6723 Weaver Rd Ste 127
Rockford, IL 61114-8021
Phone (414) 522-8047

Other practice location 2

720 S Eastwood Dr STE 181
Woodstock, IL 60098-4635
Phone (414) 522-8047

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oracle Wellness LLC Clinical CurrentSince Apr 20, 2021 Accepting new patients

Locations

6723 Weaver Rd
Ste 127
Rockford, IL 61114
Phone (414) 522-8047

720 S Eastwood Dr
Woodstock, IL 60098
Phone (414) 522-8047

Interoperability endpoints

  • Direct secure messaging: elisha.mairet.p1@direct.gefcc.nextgenshare.com

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1487001830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 PERKINS RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987324",
            "telephone_number": "815-546-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 PERKINS RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987324",
            "telephone_number": "815-546-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6723 Weaver Rd Ste 127",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611148021",
            "country_code": "US",
            "telephone_number": "414-522-8047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 S Eastwood Dr STE 181",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600984635",
            "country_code": "US",
            "telephone_number": "414-522-8047",
            "fax_number": "414-522-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIRET",
        "first_name": "ELISHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.