Active NPI
Maci Nielsen Elkins, M.A.
- Clinical Social Worker
- Beaverton, OR
National Provider Identifier
1902179633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5764
- Practice address
- 8196 SW Hall Blvd Ste 202
Beaverton, OR 97008-6411 - Phone
- (503) 567-1820
- NPI assigned
- Feb 10, 2012
- Last updated
- Jan 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L5764 | OR | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
8196 SW Hall Blvd Ste 202
Beaverton, OR 97008-6411
Mailing address
13360 SW 17TH St
Beaverton, OR 97008-4660
Phone (503) 840-5349
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5764 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrums Family Services, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422057600000",
"number": "1902179633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13360 SW 17TH ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970084660",
"telephone_number": "503-840-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8196 SW HALL BLVD STE 202",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970086411",
"telephone_number": "503-567-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINS",
"first_name": "MACI",
"middle_name": "NIELSEN",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-10",
"last_updated": "2015-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5764",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.