Individual provider Active NPI

Margo Eliescu, LCSW

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1922068790
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3592 Issued in OR
Practice address
835 Saginaw St S
Salem, OR 97302-4121
Phone
(503) 871-1296
Fax
(503) 480-0484
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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 L3592 OR Primary

Addresses

Primary practice location

835 Saginaw St S
Salem, OR 97302-4121

Mailing address

835 Saginaw St S
Salem, OR 97302-4121
Phone (503) 871-1296

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1922068790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SAGINAW ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024121",
            "telephone_number": "503-871-1296",
            "fax_number": "503-480-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SAGINAW ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024121",
            "telephone_number": "503-871-1296",
            "fax_number": "503-480-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIESCU",
        "first_name": "MARGO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.