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

Last updated

Feb 12, 2025By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Choices Counseling Solutions LLC

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

  dba Radiant Health Services

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

  dba Radiant Health Services

  • 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": "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": "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": "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": [],
    "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.