Elsa Enterprises PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SCO4570800 Issued in NJ

Legal business name

ELSA ENTERPRISES PC

Practice address

307B Mitten LN
Mount Laurel, NJ 08054-3173

Phone

(856) 296-2825

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Earnestine W Simpson, MSWNPI 1124416771

Title

Licensed Clinical Social Worker/Ceo

Phone

(856) 296-2825

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Earnestine Williams Simpson, MSW, LCSW

  • Clinical Social Worker
  • Cinnaminson, NJ
  • NPI 1124416771

  Clinical, NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1831573377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307B MITTEN LN",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543173",
            "telephone_number": "856-296-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307B MITTEN LN",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543173",
            "telephone_number": "856-296-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSA ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "EARNESTINE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER/CEO",
        "authorized_official_telephone_number": "856-296-2825",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO4570800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morris Ehrenberg, PH.D.
• Sarah R Eisenstein
• Adam B Elfant, MD
• Len I Ellis II, D.D.S.
• Brittany Elise Elmore
• Emerge Behavioral Health LLC
• Robert J Endt Jr., MSPT
• Kevin Carl English
• Epeople Health Care New Jersey, LLC
• Epic Health Services, Inc

• All providers in Mount Laurel, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.