Kathleen Elliott-McCrea, RN, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

23710 Issued in CA

Practice address

191 Harvey West Blvd
Santa Cruz, CA 95060-2126

Phone

(831) 469-1700

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Elliott-McCrea Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1992929681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 A HARVEY WEST BLVD.",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HARVEY WEST BLVD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602126",
            "telephone_number": "831-469-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT-MCCREA",
        "first_name": "KATHLEEN",
        "credential": "RN, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "23710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ELLIOTT-MCCREA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tierra Lucia Elder
• Caitlin Elfving, L.AC.
• Stefanie Elkin, LMFT
• Leslie M Elkind, M.D.
• Sarah Elena Elledge
• Cynthia Rose Ellis, RN
• Forbes Ellis, MFT
• James Ellis, MFT
• Lynn Yie Ellis
• Kendal J Ellison, D.C.

• Social Worker in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.