Elysium Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELYSIUM CONSULTING LLC

Practice address

800 Marcus St SE
Atlanta, GA 30316-1230

Phone

(678) 960-9207

Fax

(404) 228-3606

NPI assigned

Apr 11, 2015

Organization subpart

No

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

Authorized official

Name

Maranda Randolph, LCSWNPI 1982098521

Title

Owner

Phone

(770) 262-8344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maranda Randolph, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1982098521
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428710400000",
    "number": "1679969133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MARCUS ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MARCUS ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161230",
            "telephone_number": "678-960-9207",
            "fax_number": "404-228-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIUM CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-11",
        "last_updated": "2015-04-11",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "MARANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-262-8344",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Elwood, MD
• Eric T Elwood, MD
• Hillary Ely
• Katelyn Ann Ely, PA-C
• Rene J Ely, LMFT
• Elysium Health and Wellness
• Bahareh Emadzadeh Nia, D.M.D.
• Amir Emamifar, PHARMD, MBA
• Emanate Wellness Chiropractic, PC
• Rebeca Emanuel Rincon

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.