Active NPI
Emily Elliott, LISW
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1992378327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2506709
- Practice address
- 630 E Broad St
Columbus, OH 43215-3999 - Phone
- (614) 618-5955
- Fax
- (614) 618-5956
- NPI assigned
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2106447 | OH | |
| Clinical Social Worker | 1041C0700X | S.2106447 | OH | |
| Clinical Social Worker | 1041C0700X | I.2506709 | OH | |
| Clinical Social Worker | 1041C0700X | 2506709 | OH | Primary |
Addresses
Primary practice location
630 E Broad St
Columbus, OH 43215-3999
Mailing address
630 E Broad St
Columbus, OH 43215-3999
Phone (614) 618-5955
Other practice location 1
715 S Plum St
Marysville, OH 43040-1631
Phone (937) 644-9192
Other practice location 2
7100 Graphics Way
Lewis Center, OH 43035-1123
Phone (740) 428-0428
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2506709 | OH | MD | Clinical Social Worker |
| I.2506709 | OH | MD | Clinical Social Worker |
| S.2106447 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Psychological Services | Multi-Specialty | Current | Accepting new patients |
Locations
630 E Broad St
Columbus, OH 43215
Phone (614) 565-4210
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1992378327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153999",
"telephone_number": "614-618-5955",
"fax_number": "614-618-5956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153999",
"telephone_number": "614-618-5955",
"fax_number": "614-618-5956"
}
],
"practiceLocations": [
{
"address_1": "715 S Plum St",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "OH",
"postal_code": "430401631",
"country_code": "US",
"telephone_number": "937-644-9192",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7100 Graphics Way",
"address_purpose": "LOCATION",
"city": "Lewis Center",
"state": "OH",
"postal_code": "430351123",
"country_code": "US",
"telephone_number": "740-428-0428",
"fax_number": "740-909-4077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIOTT",
"first_name": "EMILY",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-22",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2106447",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.2106447",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2506709",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "2506709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.