Individual provider Active NPI

Elizabeth Grace Olson Huff, LCSW

  • Clinical Social Worker
  • Costa Mesa, CA
National Provider Identifier
1922541630
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
80513 Issued in CA
Practice address
3115 Red Hill Ave
Costa Mesa, CA 92626
Phone
(210) 393-1780
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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 80513 CA Primary

Addresses

Primary practice location

3115 Red Hill Ave
Costa Mesa, CA 92626

Mailing address

3115 Red Hill Ave
Costa Mesa, CA 92626-4517
Phone (210) 393-1780

Other practice location 1

20371 Bluffside Cir
Unit B-401
Huntington Beach, CA 92646-8529
Phone (210) 393-1780

Other identifiers 1

IdentifierTypeStateIssuer
80513OtherCABOARD OF BEHAVIORAL SERVICES

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

State licenses

LicenseStateTypeSpecialty
80513CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1922541630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 RED HILL AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264517",
            "telephone_number": "210-393-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 RED HILL AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "210-393-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20371 Bluffside Cir",
            "address_2": "Unit B-401",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926468529",
            "country_code": "US",
            "telephone_number": "210-393-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUFF",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE OLSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SERVICES",
            "identifier": "80513",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.