Elise Damilatis, LCSWA, LCASA – Social Worker

Key facts

NPI: 1629894589
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: P021077 (NC)
Practice address: 1076 Bear Creek Rd
Leicester, NC 28748-6312
Phone: (631) 682-8883
NPI assigned: Nov 25, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Live Your Truth, PLLC Psychologist · Asheville, NC · NPI 1508548363

NPD (past) SOCIAL WORKER

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
P021077	NC	MD	Social Worker
29963	NC	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Live Your Truth, PLLC	Social Worker	Past since Mar 1, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	29963	NC
Social Worker	104100000X	P021077	NC	Yes

Addresses

Primary practice location

1076 Bear Creek Rd
Leicester, NC 28748-6312

Mailing address

1076 Bear Creek Rd
Leicester, NC 28748-6312
Phone (631) 682-8883

Other providers in Leicester, NC

All providers in Leicester, NC · Social Worker in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.