Tina Marie Elliott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34010409A Issued in IN

Practice address

101 S Washington St
Marion, IN 46952-3867

Phone

(765) 662-9971

NPI assigned

Feb 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Choices Counseling Solutions LLCGroup PAC ID 9739548421, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Choices Counseling Solutions LLC

  • Community/Behavioral Health Agency
  • Monroe, MI
  • NPI 1558098632
  Medicare reassignment Care Compare group NPD
• Grant-Blackford Mental Health, Inc.

  • Community/Behavioral Health Agency
  • Marion, IN
  • NPI 1407848500
  Medicare reassignment NPD
• Grant-Blackford Mental Health, Inc.

  • Community/Behavioral Health Agency
  • Marion, IN
  • NPI 1437983103
  NPD

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1700418969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15366 S DIXIE HWY",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613773",
            "telephone_number": "734-210-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WASHINGTON ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523867",
            "telephone_number": "765-662-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522608",
            "country_code": "US",
            "telephone_number": "765-662-3971 x1515",
            "fax_number": "765-668-6718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 S Nebraska St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469531874",
            "country_code": "US",
            "telephone_number": "765-664-7492",
            "fax_number": "765-400-4466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15366 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "48161",
            "country_code": "US",
            "telephone_number": "734-210-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010409A",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33009565A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118992",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTERS SOCIAL WORKER LICENSE CLINICAL",
            "identifier": "6801118992",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carissa Edwards, RBT
• Daniel John Edwards, MD
• Desirae Edwards, RBT
• Krystin Eib
• Ahmed Elessawy
• Susan Capri Ellis, LPN
• Taryn L Elmore-Davis, LMHCA
• Bonita M. Emerick, LCSW
• Eric Emery
• Karol Emmons, FNP

• Clinical Social Worker in Marion, IN
• Providers in Marion, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.

Verify at the official NPI Registry.