Ellen C Livingston, LCSW-C, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12723 Issued in MD

Practice address

7303 Hanover Parkway Unit C
Greenbelt, MD 20770

Phone

(301) 441-2525

Fax

(301) 441-2511

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bloom Therapeutics, LLC

  • Mental Health Counselor
  • Greenbelt, MD
  • NPI 1629570056
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1881713071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207180771",
            "telephone_number": "301-441-2525",
            "fax_number": "301-441-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 HANOVER PARKWAY UNIT C",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-441-2525",
            "fax_number": "301-441-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "ELLEN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12723",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "12723",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC50078096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA EAP PROVIDER PIN",
            "identifier": "7503874",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST  GHMSI PROVIDER",
            "identifier": "5472",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST PREFERRED PROVI",
            "identifier": "20CVEC",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pimolvarn Limpuangthip, MD
• Pilgrim Lin, DPT
• Linda Biney
• Dawn Keena Lipscombe, NURSE PRACTITIONER
• Domynique Little
• Carla Ann Llewellyn
• Karla Lopez
• Monica Lopez, LMSW
• Carolyn Lorente, LCPC
• Lorne E. Weeks, M.D., P.C.

• Clinical Social Worker in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.