Elliott, Marisela E.

Elliott, Marisela E. is an individual health care provider with primary practice located at 2140 N 12Th St , Grand Junction CO 81501-2916. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Elliott, Marisela E. can be contacted via phone (970) 579-0003.

Contact Information

Primary practice address
2140 N 12Th St Grand Junction CO 81501-2916
Phone: (970) 579-0003
Fax: (970) 433-7671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACD.0002107 Colorado
Behavioral Health & Social Service Providers / Social Worker 104100000X 7826-M Nevada
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW.09929257 Colorado

Profile Details

NPI number 1336481910
LBN Legal business name Elliott, Marisela E.
Credentials LCSW, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2013
Last updated Aug 16th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336481910 NPPES
Colorado MEDICAID 9000210999

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