Individual provider Active NPI

Lou Ann Todd, MSW, ACSW,LCSW, LMFT

  • Clinical Social Worker
  • Elkhart, IN
National Provider Identifier
1881757557
Registry record updated Apr 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34000533A Issued in IN
Practice address
1750 Kilbourn St
Elkhart, IN 46514-1920
Phone
(574) 264-1501
NPI assigned
Dec 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34000533A IN Primary
Marriage & Family Therapist 106H00000X 35001261A IN

Addresses

Primary practice location

1750 Kilbourn St
Elkhart, IN 46514-1920

Mailing address

1750 Kilbourn St
Elkhart, IN 46514-1920
Phone (574) 264-1501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34000533AINMDClinical Social Worker
35001261AINMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271548800000",
    "number": "1881757557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-264-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-264-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "LOU",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, ACSW,LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2010-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000533A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001261A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2010; 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.