Geoffrey Elmore, CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

252845

Practice address

10300 Brookridge Village Blvd Ste 104
Louisville, KY 40291-4474

Phone

(502) 785-4322

Fax

(502) 785-4433

NPI assigned

Feb 2, 2019

Last updated

Feb 2, 2019By the provider in NPPES

Sex

Male

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 KY

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brock Family Therapy Center Inc.Group PAC ID 7315253416, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Brock Family Therapy Center Inc.

  • Adult Mental Health Clinic/Center
  • Louisville, KY
  • NPI 1609250992
  Medicare reassignment Care Compare group NPD
• Somerset Medhealth PLLC

  • Family Medicine Physician
  • Somerset, KY
  • NPI 1902644230
  NPD

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549065600000",
    "number": "1861957979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 BROOKRIDGE VILLAGE BLVD STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914474",
            "telephone_number": "502-785-4322",
            "fax_number": "502-785-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 BROOKRIDGE VILLAGE BLVD STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914474",
            "telephone_number": "502-785-4322",
            "fax_number": "502-785-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "GEOFFREY",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "252845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rifaat S Elmallakh, M.D.
• Elmcroft of Sherwood
• Stacey Charlotte Elmes, BA
• Ashleigh Brooke Elmore, APRN
• Dominique Elmore, DO
• Jennifer Michelle Elmore, APRN
• Prachi Elmore, OTR
• Sidimohamed Elmoustapha
• Marwa Ali Mahgoub Elnazeir, M.D
• Mohammed M Elnoor, MD

• Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; 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.