Individual provider Active NPI

Elisabeth Pollack

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1851938179
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
93040 Issued in CA
Practice address
5290 Overpass Rd Ste 220
Santa Barbara, CA 93111-2051
Phone
(805) 221-8516
NPI assigned
Dec 5, 2019
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 93040 CA Primary

Addresses

Primary practice location

5290 Overpass Rd Ste 220
Santa Barbara, CA 93111-2051

Mailing address

1239 Richelle LN Unit J
Santa Barbara, CA 93105-4648
Phone (818) 636-1781

Other practice location 1

92 San Fermo Dr
Santa Barbara, CA 93117-1915
Phone (805) 221-8516

Other names 1

  • Elisabeth Faitro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 31, 2024 through Oct 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
93040CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Healing Center a Licensed Clinical Social Worker Corporation Clinical CurrentSince Jun 26, 2022 Accepting new patients

Locations

5290 Overpass Rd
Ste 220
Santa Barbara, CA 93111
Phone (213) 444-1521

Organizations & group practices 1

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1851938179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 RICHELLE LN UNIT J",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054648",
            "telephone_number": "818-636-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 OVERPASS RD STE 220",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112051",
            "telephone_number": "805-221-8516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 San Fermo Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931171915",
            "country_code": "US",
            "telephone_number": "805-221-8516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "ELISABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "FAITRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.