Individual provider Active NPI

Sierra Ellis, LCSW

  • Clinical Social Worker
  • West Monroe, LA
National Provider Identifier
1790158467
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928432 Issued in CO
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, LA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220809002334 AL Practitioner - Clinical Social Worker 0749668077 Reassigns benefits to 1 organization
I20220811000750 CO Practitioner - Clinical Social Worker 0749668077 Reassigns benefits to 1 organization
I20230915002414 AZ Practitioner - Clinical Social Worker 0749668077 Reassigns benefits to 1 organization
I20260428002351 LA Practitioner - Clinical Social Worker 0749668077 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CSW.09928432COMDClinical Social Worker
12860LAMDClinical Social Worker
C10175MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Family Health Inc CurrentSince Jul 21, 2024 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 CurrentSince Jun 1, 2022 Accepting new patients
Keefe Memorial Health Service District CurrentSince May 18, 2023 Accepting new patients
Keefe Memorial Health Service District CurrentSince May 18, 2023 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Jun 1, 2022 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Aug 6, 2023 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Aug 6, 2023 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFGJBD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.