Jeannette M. Elliott, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001779A Issued in IN

Practice address

9605 Kennedy Ave
Highland, IN 46322-2962

Phone

(219) 934-9340

Fax

(219) 924-9360

NPI assigned

Aug 15, 2006

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 IN

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• J M Elliott Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Schererville, IN
  • NPI 1598201360
  Medicare reassignment NPD
• J. M. Elliott, Inc.

  • Community/Behavioral Health Agency
  • Schererville, IN
  • NPI 1063881845
  NPD Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790798171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 KENNEDY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222962",
            "telephone_number": "219-934-9340",
            "fax_number": "219-924-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 KENNEDY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222962",
            "telephone_number": "219-934-9340",
            "fax_number": "219-924-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JEANNETTE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001779A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Durga R Kanuru MD PC
• Thomas A. Dworniczek, LCSW
• East 53Rd Street Dental-3, PC
• East Wind Wellness Incorporated
• Bernard Edet, PHARM D
• Espoire Transportation
• Katherine Essary
• Essential Alignment LLC
• Essential Wellness LLC
• Katrina Eubanks

• Clinical Social Worker in Highland, IN
• Providers in Highland, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.