Provider Demographics
NPI:1972791127
Name:ELLIOTT, JOCELYN R (LSCSW)
Entity type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:R
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6118 SW 40TH TER
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66610-1353
Mailing Address - Country:US
Mailing Address - Phone:785-289-5663
Mailing Address - Fax:
Practice Address - Street 1:6118 SW 40TH TER
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66610-1353
Practice Address - Country:US
Practice Address - Phone:785-289-5663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS55901041C0700X
KS43121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200517270DMedicaid
KS200517270EMedicaid