Meredith Rae Eliseo, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14050 Issued in MD

Practice address

6655 First Park Ten Blvd
San Antonio, TX 78213-4308

Phone

(210) 496-2323

NPI assigned

Jan 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Meredith Rae Polando Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1588934392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 GRAHAM FARM CIR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441086",
            "telephone_number": "301-814-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 FIRST PARK TEN BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134308",
            "telephone_number": "210-496-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELISEO",
        "first_name": "MEREDITH",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "POLANDO",
            "middle_name": "RAE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bishoy Elias
• Luis Miguel Elias, RBT
• Yvonne Briones Elias, PH.D.
• Veronica S Eliason
• Elisa M Durda (Elisas Fostercare)
• Elite Care RX LLC
• Elite Endodontics, P.C.
• Elite Family Care
• Elite Home Care Professionals, Inc
• Elite Home Health, PLLC

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.