Active NPI
Elizabeth Elsberg, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1568921872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2018041183
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Louis Behavioral Medicine Institute Inc | Current | Accepting new patients | |
| St. Louis Behavioral Medicine Institute Inc | Current | 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.
-
- Psychologist
- Saint Louis, MO
- NPI 1487732335
-
- Mental Health Counselor
- Fairview Heights, IL
- NPI 1952169179
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.