Active NPI
Sierra Ellis, LCSW
- Clinical Social Worker
- West Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09928432
- Practice address
- 101 Crosley St
West Monroe, LA 71291-2913 - Phone
- (318) 325-1092
- Fax
- (318) 325-1222
- NPI assigned
- Nov 3, 2015
- Last updated
- Jul 18, 2024
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12860 | LA | |
| Clinical Social Worker | 1041C0700X | 5048C | AL | |
| Clinical Social Worker | 1041C0700X | C10175 | MS | |
| Clinical Social Worker | 1041C0700X | 12860 | LA | |
| Clinical Social Worker | 1041C0700X | CSW.09928432 | CO | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
101 Crosley St
West Monroe, LA 71291-2913
Mailing address
101 Crosley St
West Monroe, LA 71291-2913
Phone (318) 325-1092
Other practice location 1
4951 Central Ave
Monroe, LA 71203-6156
Phone (318) 340-1535
Other practice location 2
602 N 6th St W
Cheyenne Wells, CO 80810-5125
Phone (719) 767-5661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, CO, AZ, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
80 Arkay Dr
Suite 230
Hauppauge, NY 11788-3728
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09928432 | CO | MD | Clinical Social Worker |
| 12860 | LA | MD | Clinical Social Worker |
| C10175 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Family Health Inc | Current | Accepting new patients | |
| Life Elevated Therapeutic Services | Current | Accepting new patients | |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| Cooper Green Mercy Health Services Authority an Affiliate of Uab | Current | Accepting new patients | |
| Keefe Memorial Health Service District | Current | Accepting new patients | |
| Keefe Memorial Health Service District | Current | Accepting new patients | |
| Cooper Green Mercy Health Services Authority an Affiliate of Uab | Current | Accepting new patients | |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| River City Professional Counseling | Past | Accepting new patients | |
| Good News Counseling - Bastrop | Past | Accepting new patients |
Locations
1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200
1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300
1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380
602 N 6th St W
Cheyenne Wls, CO 80810
Phone (719) 767-5661
101 Crosley St
West Monroe, LA 71291
Phone (318) 325-1092
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/DFGJBD
- sierra.ellis.1@15578.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Clinic/Center
- Birmingham, AL
- NPI 1366073108
-
dba Keefe Memorial Hospital
- Critical Access Hospital
- Cheyenne Wells, CO
- NPI 1366840688
-
- Critical Access Hospital
- Parker, AZ
- NPI 1053684555
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, LA
- NPI 1003780685
-
- General Practice Physician
- New Orleans, LA
- NPI 1750120119
-
dba Go Care
- Federally Qualified Health Center (FQHC)
- West Monroe, LA
- NPI 1003207085
-
dba Cooper Green Clinic Pharmacy
- Clinic Pharmacy
- Birmingham, AL
- NPI 1568081644
-
dba Kit Carson Clinic
- Rural Health Clinic/Center
- Kit Carson, CO
- NPI 1457749608
-
- Urgent Care Clinic/Center
- Parker, AZ
- NPI 1598009029
-
- Medicare Defined Swing Bed Hospital Unit
- Parker, AZ
- NPI 1598038093
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bastrop, LA
- NPI 1831957828
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, LA
- NPI 1710169503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1790158467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CROSLEY ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712912913",
"telephone_number": "318-325-1092",
"fax_number": "719-767-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CROSLEY ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712912913",
"telephone_number": "318-325-1092",
"fax_number": "318-325-1222"
}
],
"practiceLocations": [
{
"address_1": "4951 Central Ave",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "712036156",
"country_code": "US",
"telephone_number": "318-340-1535",
"fax_number": "318-340-1539",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "602 N 6th St W",
"address_purpose": "LOCATION",
"city": "Cheyenne Wells",
"state": "CO",
"postal_code": "808105125",
"country_code": "US",
"telephone_number": "719-767-5661",
"fax_number": "719-767-5098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIS",
"first_name": "SIERRA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "12860",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "5048C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C10175",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "12860",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09928432",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.