Active NPI
Jessica Lynn Elliott, LMSW
- Social Worker
- Norwich, NY
National Provider Identifier
1497230460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104468-1
- Practice address
- 5 Court Street, St 42
Chenango County Behavioral Health Services, County Offi
Norwich, NY 13815 - Phone
- (607) 725-9470
- NPI assigned
- Sep 26, 2018
- 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 | 104468-1 | NY | Primary |
Addresses
Primary practice location
5 Court Street, St 42
Chenango County Behavioral Health Services, County Offi
Norwich, NY 13815
Mailing address
5 Court Street, Suite 42 Chenango County Community Ment
Norwich, NY 13815
Phone (607) 337-1600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104468-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1497230460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 COURT STREET, SUITE 42 CHENANGO COUNTY COMMUNITY MENT",
"city": "NORWICH",
"state": "NY",
"postal_code": "13815",
"telephone_number": "607-337-1600",
"fax_number": "607-334-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 COURT STREET, ST 42",
"address_2": "CHENANGO COUNTY BEHAVIORAL HEALTH SERVICES, COUNTY OFFI",
"city": "NORWICH",
"state": "NY",
"postal_code": "13815",
"telephone_number": "607-725-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "104468-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.