Madison Jo Elliott
NPI 1043792278ActiveIndividual· Social Worker, Clinical· Logan, UT
Social Worker, Clinical with Bear River Mental Health Services Inc, practicing in Logan, Utah. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1043792278 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 4, 2018 |
| Last updated in NPPES | Aug 5, 2022 |
| Certified by provider | Aug 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 11795418-3501 | UT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (UT) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Bear River Mental Health Services IncLogan, UT · 31 clinicians
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