Individual provider Active NPI

Emily Elizabeth Elliott

  • Clinical Social Worker
  • Providence Forge, VA
National Provider Identifier
1972276145
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904017838 Issued in VA
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

LicenseStateTypeSpecialty
0903003675VAMDSocial Worker
0904017838VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oso Wellness PLLC Clinical CurrentSince Aug 1, 2021 Accepting new patients

Locations

3530 N Courthouse Rd
Providence Forge, VA 23140
Phone 8044097525 ext. 07

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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.

Verify at the official NPI Registry.