Elvina Angelica Bill

Primary specialty

Social WorkerTaxonomy code 104100000X

License

125302 Issued in CA

Practice address

809 S Main St
Lakeport, CA 95453-5510

Phone

(707) 900-2121

NPI assigned

Aug 19, 2024

Last updated

Jan 3, 2025By 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 4

Addresses

Other names 1

• Elvina Angelica Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kno'Qoti Native Wellness, Inc.

  • Case Manager/Care Coordinator
  • Lakeport, CA
  • NPI 1326854514
  NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1811729650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535510",
            "telephone_number": "707-900-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535510",
            "telephone_number": "707-900-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 12th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981442007",
            "country_code": "US",
            "telephone_number": "206-324-9360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954535325",
            "country_code": "US",
            "telephone_number": "707-900-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILL",
        "first_name": "ELVINA",
        "middle_name": "ANGELICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": "NA",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61573396",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "125302",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELVINA",
            "last_name": "BROWN",
            "middle_name": "ANGELICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shawna Berglund
• Lisa M Bermudez
• David Betat, M.D.
• Evan John Bettey, COTA/L
• Kimberly Bigelman, LCSW
• Donovan C Bland, MD
• Martyna Joanna Blissky
• Ellen Marie Boersma, NP
• Ronald J Botelho, M.D.
• Emmalena Ann Boyd, OD

• Social Worker in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.