Individual provider Active NPI

Elle Udaykee Trapkin, LCSW

  • Clinical Social Worker
  • Scottdale, GA
National Provider Identifier
1710038153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002282 Issued in GA
Practice address
3033 N Decatur Rd
Scottdale, GA 30079-1143
Phone
(404) 508-9908
Fax
(404) 508-9906
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 002282 GA Primary

Addresses

Primary practice location

3033 N Decatur Rd
Scottdale, GA 30079-1143

Mailing address

3033 N Decatur Rd
P.O. Box 102
Scottdale, GA 30079-1143
Phone (404) 508-9908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2282GAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710038153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N DECATUR RD",
            "address_2": "P.O. BOX 102",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791143",
            "telephone_number": "404-508-9908",
            "fax_number": "404-508-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N DECATUR RD",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791143",
            "telephone_number": "404-508-9908",
            "fax_number": "404-508-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAPKIN",
        "first_name": "ELLE",
        "middle_name": "UDAYKEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "002282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.