Carla Jane Elliott, PH.D (LCSW)

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

302492 Issued in DC

Practice address

3803 52ND St., N.W.
Washington, DC 20016

Phone

(202) 255-6800

NPI assigned

Dec 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carla Jane Elliott-Neely Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1700546843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 52ND ST., N.W",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20016",
            "telephone_number": "202-255-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 52ND ST., N.W.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20016",
            "telephone_number": "202-255-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "CARLA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D (LCSW)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "302492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "ELLIOTT-NEELY",
            "middle_name": "JANE",
            "prefix": "DR.",
            "credential": "PH.D (LCSW)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robbin Ellington
• Elliot Aleskow, M.D.,P.C.
• Angelic Elliot, PCA
• Alicia Natoria Elliott
• Ayana M Elliott, FNP
• Elizabeth Claire Elliott, MD
• Gail Ann Elliott
• Joy Michele Elliott
• Julia P Elliott, FNP
• Keisha Elliott

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.