Elisabeth Thomas Lilja, MSW,LCSW,RYT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10854740-3501 Issued in UT

Practice address

3570 E Palisade Dr
Salt Lake City, UT 84109-2315

Phone

(801) 842-6234

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2020.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1982209946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 E PALISADE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092315",
            "telephone_number": "801-842-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 E PALISADE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092315",
            "telephone_number": "801-842-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILJA",
        "first_name": "ELISABETH",
        "middle_name": "THOMAS",
        "credential": "MSW,LCSW,RYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10854740-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilac Dentistry
• Lilac Wellness PLLC
• Edmund A Liles Jr., MD
• Krista Liles
• Rilla Annette Liles, RN, BSN
• Kristen Hansord Lilja, M.D.
• Brian B Liljenquist, DPM
• Rebecca Liljenquist
• Kate Lillie, PA-C
• Lane Camille Lillywhite

• All providers in Salt Lake City, UT
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.