Individual provider Active NPI

Ruth A Elliott, LICSW

  • Clinical Social Worker
  • Concord, NH
National Provider Identifier
1871762435
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1392 Issued in NH
Practice address
28 S Main St
Concord, NH 03301-4862
Phone
(603) 556-2897
NPI assigned
Feb 27, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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 1392 NH Primary

Addresses

Primary practice location

28 S Main St
Concord, NH 03301-4862

Mailing address

88 E Huntress Pond Rd
Center Barnstead, NH 03225-3718
Phone (603) 556-2897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220906000882 MA Practitioner - Clinical Social Worker 5991873440 Reassigns benefits to 1 organization
I20260223000507 NC Practitioner - Clinical Social Worker 5991873440 Practice locations: Raleigh, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multi-Service Eating Disorders Association IncGroup PAC ID 8628408697, 4 clinicians

Practice addresses (Care Compare)

110 Rains Dr
Wendell, NC 27591-9830

1320 Centre St
Suite 101
Newton, MA 02459-2400
Phone (617) 558-1881

4004 Barrett Dr
Suite 206
Raleigh, NC 27609-6620
Phone (603) 556-2897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1392NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-Service Eating Disorders Association Inc CurrentSince Jun 1, 2022 Accepting new patients
Behavior Care, PLLC PastSince Mar 16, 2024 Accepting new patients
Ruth Elliott Licsw Clinical PastSince Feb 28, 2012 Accepting new patients

Locations

1320 Centre St
Ste 101
Newton Centre, MA 02459
Phone (617) 558-1881

Organizations & group practices 3

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1871762435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E HUNTRESS POND RD",
            "city": "CENTER BARNSTEAD",
            "state": "NH",
            "postal_code": "032253718",
            "telephone_number": "603-556-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S MAIN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014862",
            "telephone_number": "603-556-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "RUTH",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.