Active NPI
Rebekah Sharon Elliott, LMSW
- Social Worker
- Pelham, GA
National Provider Identifier
1548723323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW008417
- Practice address
- 339 Pride St
Pelham, GA 31779-5370 - Phone
- (229) 294-6225
- NPI assigned
- Apr 9, 2019
- Last updated
- Apr 9, 2019
- 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 | MSW008417 | GA | Primary |
Addresses
Primary practice location
339 Pride St
Pelham, GA 31779-5370
Mailing address
1102 Smith Ave
Thomasville, GA 31792-5739
Phone (229) 225-5208
Other practice location 1
1102 Smith Ave
Thomasville, GA 31792-5739
Phone (229) 225-5208
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 |
|---|---|---|---|
| MSW008417 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1548723323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 SMITH AVE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925739",
"telephone_number": "229-225-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 PRIDE ST",
"city": "PELHAM",
"state": "GA",
"postal_code": "317795370",
"telephone_number": "229-294-6225"
}
],
"practiceLocations": [
{
"address_1": "1102 Smith Ave",
"address_purpose": "LOCATION",
"city": "Thomasville",
"state": "GA",
"postal_code": "317925739",
"country_code": "US",
"telephone_number": "229-225-5208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIOTT",
"first_name": "REBEKAH",
"middle_name": "SHARON",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW008417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pelham, GA
- Crumbley Counseling Services LLC
- Anicklette O Crumbley, LPC
- David B Drury, MD (Pelham Family Medical Associates)
- Cynthia Parker Drury, M.D.
- David Brian Drury, M.D.
- Ryan Taylor Faircloth
- Traci Williams Franklin, PHARM.D.
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.