Individual provider Active NPI

Elisa M Gitan, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1609186469
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5212 Issued in TN
Practice address
4525 Harding Pike Ste 235
Nashville, TN 37205-2373
Phone
(615) 620-4540
Fax
(615) 620-4536
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5212 TN Primary

Addresses

Primary practice location

4525 Harding Pike Ste 235
Nashville, TN 37205-2373

Mailing address

4525 Harding Pike
Nashville, TN 37205-2119
Phone (615) 620-4540

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

LicenseStateTypeSpecialty
5212TNMDElectroneurodiagnostic Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1609186469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052119",
            "telephone_number": "615-620-4540",
            "fax_number": "615-620-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 HARDING PIKE STE 235",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052373",
            "telephone_number": "615-620-4540",
            "fax_number": "615-620-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITAN",
        "first_name": "ELISA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.