Active NPI
Elisa Alvim-Told, LCSW
- Clinical Social Worker
- Craig, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09923637
- Practice address
- 580 Pershing St Ste 1
Craig, CO 81625-3053 - Phone
- (917) 730-7789
- Fax
- (970) 367-1499
- NPI assigned
- Jul 25, 2014
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9923637 | CO | |
| Clinical Social Worker | 1041C0700X | 09923637 | CO | Primary |
Addresses
Primary practice location
580 Pershing St Ste 1
Craig, CO 81625-3053
Mailing address
2340 W 1620 North Cir
St George, UT 84770-5313
Phone (917) 730-7789
Other practice location 1
2340 W 1620 North Cir
St George, UT 84770-5313
Phone (917) 730-7789
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1127 | Other | CO | NONE |
| 52720586 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150521000299 | CO | Practitioner - Clinical Social Worker | 7315267051 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Columbia University College of Physicians and Surgeons, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2340 W 1620 N Cir
Saint George, UT 84770-5313
5783 Haywagon LN
Castle Rock, CO 80108-8584
580 Pershing St
Suite 1
Craig, CO 81625-3053
Phone (917) 730-7789
9362 Amison Circle
Unit 102
Parker, CO 80134-7698
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09923637 | CO | MD | Clinical Social Worker |
| 9923637 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivy Psychotherapies LLC | Clinical | Current | Accepting new patients |
Locations
580 Pershing St
Ste 1
Craig, CO 81625
Phone (917) 730-7789
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1639587397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 W 1620 NORTH CIR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847705313",
"telephone_number": "917-730-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 PERSHING ST STE 1",
"city": "CRAIG",
"state": "CO",
"postal_code": "816253053",
"telephone_number": "917-730-7789",
"fax_number": "970-367-1499"
}
],
"practiceLocations": [
{
"address_1": "2340 W 1620 North Cir",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847705313",
"country_code": "US",
"telephone_number": "917-730-7789",
"fax_number": "970-367-1499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVIM-TOLD",
"first_name": "ELISA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-25",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "9923637",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09923637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "1127",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52720586",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Craig, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.