Individual provider Active NPI

Elisa Ledesky Kulp, MSW

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1508562497
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61560895 Issued in WA
Practice address
960 Harris Ave Ste 206
Bellingham, WA 98225-7045
Phone
(360) 661-1823
Fax
(360) 647-8336
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SC61114437 WA
Clinical Social Worker 1041C0700X LW61560895 WA Primary

Addresses

Primary practice location

960 Harris Ave Ste 206
Bellingham, WA 98225-7045

Mailing address

P.O. Box 257
R.M.B 7950
Olympia, WA 98507-0257
Phone (406) 404-6211

Other names 1

  • Elisa Jordan Ferris Former name

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

LicenseStateTypeSpecialty
SC61114437WAMDMental Health Counselor
LW61560895WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1508562497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 257",
            "address_2": "R.M.B 7950",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070257",
            "telephone_number": "406-404-6211",
            "fax_number": "360-647-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 HARRIS AVE STE 206",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257045",
            "telephone_number": "360-661-1823",
            "fax_number": "360-647-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULP",
        "first_name": "ELISA",
        "middle_name": "LEDESKY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-02-24",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC61114437",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61560895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "FERRIS",
            "middle_name": "JORDAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.