Juanita Serena Elliott, LMSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

278361 Issued in AK

Practice address

4034 Reka L5
Anchorage, AK 99508

Phone

(907) 569-5033

Fax

(907) 569-5033

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grace R, LLC

  dba Grace R

  • Case Management Agency
  • Anchorage, AK
  • NPI 1841520699
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922130376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141795",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995141795",
            "telephone_number": "907-569-5033",
            "fax_number": "907-569-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 REKA L5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-569-5033",
            "fax_number": "907-569-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JUANITA",
        "middle_name": "SERENA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "278361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM5272",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol J. Elliott, LPC
• Catherine Elliott
• Iain S. Elliott, M.D.
• Janet H Elliott, PSY.D.
• Jodi S Elliott, DO
• Larry Charles Elliott, CPHT
• Sarah Elliott, LPN
• Savannah Maria Guzman Elliott, RDN
• Whitney E Elliott
• Katrina Ellis-Steik

• Case Manager/Care Coordinator in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.