Amber R Elliott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC12988 Issued in ME

Practice address

227 Congress St
3Rd Floor
Portland, ME 04101-3609

Phone

(207) 590-9207

Fax

(207) 282-5230

NPI assigned

Jul 5, 2012

Last updated

Jul 5, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ME

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 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alternative Wellness ServicesGroup PAC ID 6800014614, 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.

• Alternative Wellness Services

  • Community/Behavioral Health Agency
  • Biddeford, ME
  • NPI 1982046207
  Medicare reassignment Care Compare group NPD Authorized official
• Primecare Physician Associates

  • Family Medicine Physician
  • Biddeford, ME
  • NPI 1831150911
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1780949800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1565",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040051565",
            "telephone_number": "207-590-9207",
            "fax_number": "207-282-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CONGRESS ST",
            "address_2": "3RD FLOOR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013609",
            "telephone_number": "207-590-9207",
            "fax_number": "207-282-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "AMBER",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Elkhoury, MD
• Kristen M Ellensohn, APRN FNP
• Jaime Eller, LCSW
• Sara A Ellingwood, M.S.
• Emily E Elliot, LCPC-C
• Autumn Elliott
• Catherine M Elliott, CRNA
• Quinn Elliott
• Kent A Ellis
• Lauren Brooke Ellis, MD

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.