Active NPI
Elisabeth Drew McConnell, LCSW
- Clinical Social Worker
- Lafayette, CO
National Provider Identifier
1750842530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 88311
- Practice address
- 1455 Dixon Ave
Lafayette, CO 80026-8879 - Phone
- (303) 443-8500
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 88311 | CA | Primary |
Addresses
Primary practice location
1455 Dixon Ave
Lafayette, CO 80026-8879
Mailing address
1455 Dixon Ave
Lafayette, CO 80026-8879
Other practice location 1
1453 16th St
Santa Monica, CA 90404-2715
Phone (310) 857-8067
Other practice location 2
2116 Arlington Ave Ste 100
Los Angeles, CA 90018-1353
Phone (310) 857-8067
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emcconnell@thepeopleconcern.org | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88311 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1750842530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 DIXON AVE",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800268879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 DIXON AVE",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800268879",
"telephone_number": "303-443-8500"
}
],
"practiceLocations": [
{
"address_1": "1453 16th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042715",
"country_code": "US",
"telephone_number": "310-857-8067",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 Arlington Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900181353",
"country_code": "US",
"telephone_number": "310-857-8067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCONNELL",
"first_name": "ELISABETH",
"middle_name": "DREW",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "88311",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emcconnell@thepeopleconcern.org",
"affiliation": "N",
"endpointDescription": "Work email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "2116 Arlington Ave Ste 100",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900181353",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.