Organization Active NPI

Emily Elmore, LCSW, Ryt, PLLC

  • Clinical Social Worker
  • Lombard, IL
National Provider Identifier
1730858630
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMILY ELMORE, LCSW, RYT, PLLC
Practice address
1919 S Highland Ave Ste 325a
Lombard, IL 60148-6181
Phone
(773) 236-1337
Fax
(773) 688-1665
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Mrs. Emily A Elmore, LCSWNPI 1730599622
Title
Owner, Psychotherapist
Phone
(217) 390-7416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1919 S Highland Ave Ste 325a
Lombard, IL 60148-6181

Mailing address

3 Grant SQ # 217
Hinsdale, IL 60521-3351
Phone (217) 390-7416

Other practice location 1

1919 S Highland Ave
Lombard, IL 60148
Phone (217) 390-7416

National Provider Directory

National Provider Directory

Locations

5 Grant SQ
217
Hinsdale, IL 60521
Phone (773) 236-1337

1919 S Highland Ave
Lombard, IL 60148
Phone (630) 423-3507

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1730858630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GRANT SQ # 217",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213351",
            "telephone_number": "217-390-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S HIGHLAND AVE STE 325A",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486181",
            "telephone_number": "773-236-1337",
            "fax_number": "773-688-1665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 S Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "60148",
            "country_code": "US",
            "telephone_number": "217-390-7416",
            "fax_number": "773-688-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMILY ELMORE, LCSW, RYT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "217-390-7416",
        "authorized_official_name_prefix": "Mrs.",
        "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": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.