ALEXIS SKELLEY ELLIOTT (NPI# 1891233144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891233144 |
| Entity Type | Individual |
| Full Name | ALEXIS SKELLEY ELLIOTT |
| Credential | LCSW, LISW-CP, CDE |
| Practice Address |
410 77th Ave N Myrtle Beach SC 29572-4236 |
| Mailing Address |
Po Box 71256 Myrtle Beach SC 29572-0039 |
| Practice Telephone | 8434502727 |
| Practice Fax Number | 8435643634 |
| Mailing Telephone | 8434502727 |
| Mailing Fax Number | 8435643634 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
122232 | SC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C009475 | NC | Behavioral Health & Social Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 35 Memorial Dr, Pinehurst, NC 283748708 | 9107153376 | 9107155391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548753 | Alexis D Elliott | Physician Assistant | 2350 Miracle Mile # 600a, Bullhead City, AZ 86442-7505 | 2019-03-25 |
| 1558912212 | Alexis Nicole Elliott | Pharmacist | 200 Moore Dr, Nicholasville, KY 40356-8512 | 2019-09-24 |
| 1043860091 | Alexis Ann Elliott | Behavior Technician | 3865 Wilder Rd Ste 8, Bay City, MI 48706-2136 | 2019-09-11 |
| 1275947731 | Alexis Sasha Elliott | Pathology | 6701 N Charles Street, Baltimore, MD 21204-6808 | 2014-06-12 |
| Street Address |
410 77TH AVE N |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420464 | Keystone Care, LLC | Social Worker | 285 La Patos Dr, Myrtle Beach, SC 29588-8484 | 2019-01-02 |
| 1053804328 | Serenity and Beyond Counseling Services LLC | Social Worker | 1229 38th Ave N Ste 207, Myrtle Beach, SC 29577-1313 | 2018-06-12 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1073924114 | John Anthony Roman II | Social Worker | 917 Broadway St Ste 3, Myrtle Beach, SC 29577-3718 | 2014-05-12 |
| 1164866349 | Sarah Roberts | Social Worker | 185 Zinnia Dr, Myrtle Beach, SC 29579-7051 | 2013-04-18 |
| 1235412685 | Bergeron Counseling Services LLC | Social Worker | 1335 44th Ave N Ste 204, Myrtle Beach, SC 29577-5980 | 2011-09-22 |
| 1437455144 | Little River Medical Center, Inc. | Social Worker | 7726 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2011-01-28 |
| 1235452772 | Sheena Blake Gaddis | Social Worker | 1229 38th Ave N # 207, Myrtle Beach, SC 29577 | 2010-03-11 |
| 1346563350 | Debbie Lea Jackson | Social Worker | 1101 Johnson Ave Ste 2, Myrtle Beach, SC 29577-1893 | 2010-03-04 |
| 1144472119 | Little River Medical Center, Inc. | Social Worker | 1005 Osceola St, Myrtle Beach, SC 29577-8008 | 2008-10-21 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.