Elizabeth F Elliott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020470 Issued in IL

Practice address

7467 N Ridge Blvd
Chicago, IL 60645-1902

Phone

(312) 248-3353

NPI assigned

Nov 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bloom Therapy LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1588278634
  NPD Authorized official

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1497297352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7467 N RIDGE BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451902",
            "telephone_number": "312-248-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7467 N RIDGE BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451902",
            "telephone_number": "312-248-3353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7447 N Ashland Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606261916",
            "country_code": "US",
            "telephone_number": "312-912-5036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Glencoe",
            "state": "IL",
            "postal_code": "60022",
            "country_code": "US",
            "telephone_number": "847-835-1770 x229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ELIZABETH",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102048",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Ellingwood, PA
• Wanda Elliott-Pearson, MD
• Ashley Elliott, CRC, LCPC
• Brianna Elliott, PA-C
• Daniel Scott Elliott, MD, PHD
• Elizabeth Reedy Elliott, LCSW
• Emily Katherine Elliott, APN
• Esmarie Elliott
• Iva Elliott
• Jordan Elyse Elliott, DNP

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.