Elite Behavioral Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELITE BEHAVIORAL THERAPY

Practice address

11140 Rockville Pike Ste 480-E
North Bethesda, MD 20852-3106

Phone

(240) 403-7582

Fax

(240) 403-7629

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mirta Elvire Innis-Thompson, LCSW,LICSW,DSWNPI 1386983393

Title

LCSW Licensed Psychotherapist

Phone

(202) 763-9178

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mirta Elvire Innis-Thompson, LCSW-C,LICSW, DSW

  • Clinical Social Worker
  • North Bethesda, MD
  • NPI 1386983393
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1992401376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE STE 480-E",
            "address_2": "SUITE 480-E",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "240-408-7582",
            "fax_number": "240-403-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE STE 480-E",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "240-403-7582",
            "fax_number": "240-403-7629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10880 Wilshire Blvd Ste 11010016",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900244101",
            "country_code": "US",
            "telephone_number": "240-403-7582",
            "fax_number": "240-403-7629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "INNIS-THOMPSON",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_middle_name": "ELVIRE",
        "authorized_official_title_or_position": "LCSW LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "202-763-9178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW,LICSW,DSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.