Elevations Supportive Services, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELEVATIONS SUPPORTIVE SERVICES, LLC

Practice address

585 Forest St Ste 2
Dover, DE 19904-3289

Phone

(302) 331-1675

NPI assigned

Nov 3, 2023

Last updated

Nov 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Kaiser, LMSWNPI 1437924594

Title

Owner/Ceo

Phone

(302) 331-1675

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Lee Kaiser, LMSW

  • Social Worker
  • Dover, DE
  • NPI 1437924594
  NPD Authorized official

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1902679665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SAINT JONES AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015287",
            "telephone_number": "302-331-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 FOREST ST STE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043289",
            "telephone_number": "302-331-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATIONS SUPPORTIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "302-331-1675",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Dover, DE
• Providers in Dover, DE by specialty
• General Practice Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.