Organization Active NPI

Elemental Self Institute

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1821979675
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELEMENTAL SELF INSTITUTE
Practice address
540 N Neville St Ste 102
Pittsburgh, PA 15213-2853
Phone
(412) 475-8122
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Erin Elizabeth Kelly, LCSW, REAT, RYT-500NPI 1285147421
Title
Owner
Phone
(412) 779-2475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

540 N Neville St Ste 102
Pittsburgh, PA 15213-2853

Mailing address

586 Hazelwood Ave
Pittsburgh, PA 15207-1231
Phone (412) 779-2475

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1821979675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 HAZELWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152071231",
            "telephone_number": "412-779-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N NEVILLE ST STE 102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132853",
            "telephone_number": "412-475-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL SELF INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-779-2475",
        "authorized_official_credential": "LCSW, REAT, RYT-500"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.