Elissa Beth Douglass, MSW, LISW
NPI 1568738722ActiveIndividual· Social Worker, Clinical· Boardman, OH
Social Worker, Clinical (MSW, LISW) in Boardman, Ohio, licensed in OH, with an NPI issued in March 2012.
Overview
| NPI | 1568738722 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LISW |
| Sole proprietor | Yes |
| NPI issued | Mar 31, 2012 |
| Last updated in NPPES | Apr 1, 2020 |
| Certified by provider | Apr 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I1200036 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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