Individual provider Active NPI

Emily Elliott, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1992378327
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2506709 Issued in OH
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

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2106447 OH
Clinical Social Worker 1041C0700X S.2106447 OH
Clinical Social Worker 1041C0700X I.2506709 OH
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
2506709OHMDClinical Social Worker
I.2506709OHMDClinical Social Worker
S.2106447OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Real Psychological Services Multi-Specialty CurrentSince Aug 25, 2025 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.

Verify at the official NPI Registry.