Individual provider Active NPI

Elizabeth Elsberg, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1568921872
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018041183 Issued in MO
Practice address
11144 Tesson Ferry Rd Ste 101
Saint Louis, MO 63123-6965
Phone
(314) 729-1200
Fax
(314) 729-1201
NPI assigned
Mar 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2018041183 MO
Clinical Social Worker 1041C0700X 2018041183 MO Primary

Addresses

Primary practice location

11144 Tesson Ferry Rd Ste 101
Saint Louis, MO 63123-6965

Mailing address

265 Greenyard CT
Ballwin, MO 63011-5020
Phone (571) 436-6058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607003206 MO Practitioner - Clinical Social Worker 3375943731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Behavioral Medicine Institute Inc CurrentSince Jan 1, 2025 Accepting new patients
St. Louis Behavioral Medicine Institute Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

1129 Macklind Ave
Saint Louis, MO 63110
Phone (314) 534-0200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1568921872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 GREENYARD CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630115020",
            "telephone_number": "571-436-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236965",
            "telephone_number": "314-729-1200",
            "fax_number": "314-729-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSBERG",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-16",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2018041183",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018041183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.