Individual provider Active NPI

Julie A. Elbert, LISW

  • Clinical Social Worker
  • Sioux City, IA
National Provider Identifier
1891755906
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03001 Issued in IA
Practice address
1601 Military Road
Sioux City, IA 51103
Phone
(712) 252-4547
Fax
(712) 252-3785
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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 03001 IA Primary

Addresses

Primary practice location

1601 Military Road
Sioux City, IA 51103

Mailing address

1601 Military Road
Sioux City, IA 51103
Phone (712) 252-4547

Other identifiers 1

IdentifierTypeStateIssuer
0220707MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20140218001295 IA Practitioner - Clinical Social Worker 0941439863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03001IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Community Health Center CurrentSince Nov 18, 2024 Accepting new patients
Rodney J Dean MD, PC Clinical PastSince Mar 5, 1997 Accepting new patients

Locations

1021 Nebraska St
Sioux City, IA 51105
Phone (712) 252-2477

1122 Pierce St
Sioux City, IA 51105
Phone (712) 252-2477

3410 Futures Dr
South Sioux City, NE 68776
Phone (402) 412-4271

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1891755906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILITARY ROAD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51103",
            "telephone_number": "712-252-4547",
            "fax_number": "712-252-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MILITARY ROAD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51103",
            "telephone_number": "712-252-4547",
            "fax_number": "712-252-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBERT",
        "first_name": "JULIE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "03001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220707",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.