Active NPI
Emily Elizabeth Elliott
- Clinical Social Worker
- Providence Forge, VA
National Provider Identifier
1972276145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904017838
- Practice address
- 3530 N Courthouse Rd
Providence Forge, VA 23140-3408 - Phone
- (804) 409-7525
- Fax
- (804) 315-9380
- NPI assigned
- Jul 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0903003675 | VA | MD | Social Worker |
| 0904017838 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oso Wellness PLLC | Clinical | Current | Accepting new patients |
Locations
3530 N Courthouse Rd
Providence Forge, VA 23140
Phone 8044097525 ext. 07
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0903003675 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 0904017838 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3530 N Courthouse Rd
Providence Forge, VA 23140-3408
Mailing address
3530 N Courthouse Rd
Providence Forge, VA 23140-3408
Phone (804) 409-7525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2025.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1972276145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 N COURTHOUSE RD",
"city": "PROVIDENCE FORGE",
"state": "VA",
"postal_code": "231403408",
"telephone_number": "804-409-7525",
"fax_number": "804-315-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 N COURTHOUSE RD",
"city": "PROVIDENCE FORGE",
"state": "VA",
"postal_code": "231403408",
"telephone_number": "804-409-7525",
"fax_number": "804-315-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0903003675",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904017838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence Forge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.