Active NPI
Wendy Marie Elliott, LCSW
- Clinical Social Worker
- Santa Ana, CA
National Provider Identifier
1548417546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 27941
- Practice address
- 401 W Civic Center Dr Ste 500
Santa Ana, CA 92701-4515 - Phone
- (714) 480-6660
- NPI assigned
- Aug 20, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW 22808 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW 27941 | CA | Primary |
Addresses
Primary practice location
401 W Civic Center Dr Ste 500
Santa Ana, CA 92701-4515
Mailing address
401 W Civic Center Dr Ste 500
Santa Ana, CA 92701-4515
Phone (714) 480-6723
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 |
|---|---|---|---|
| ASW 22808 | CA | MD | Clinical Social Worker |
| LCSW 27941 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1548417546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W CIVIC CENTER DR STE 500",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014515",
"telephone_number": "714-480-6723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W CIVIC CENTER DR STE 500",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014515",
"telephone_number": "714-480-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "WENDY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 22808",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW 27941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.