Active NPI
Elizabeth Scott Dattilio, LCSW
- Clinical Social Worker
- Fishersville, VA
National Provider Identifier
1548781230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904009607
- Practice address
- 57 N Medical Park Dr
Fishersville, VA 22939-2353 - Phone
- (540) 213-2525
- Fax
- (540) 213-2555
- NPI assigned
- Jul 3, 2017
- Last updated
- Jun 22, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0904009607 | VA | |
| Clinical Social Worker | 1041C0700X | 0904009607 | VA | Primary |
Addresses
Primary practice location
57 N Medical Park Dr
Fishersville, VA 22939-2353
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5162
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904009607 | VA | MD | Clinical Social Worker |
Interoperability endpoints
- elizabeth.dattilio.1@14718.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1548781230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229390388",
"telephone_number": "540-932-5162",
"fax_number": "540-932-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 N MEDICAL PARK DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392353",
"telephone_number": "540-213-2525",
"fax_number": "540-213-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DATTILIO",
"first_name": "ELIZABETH",
"middle_name": "SCOTT",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0904009607",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.