Active NPIIndividual providerSole proprietor

Mr. Khalil Elliott, MBA, MSW, LSW

Social Worker in Blackwood, New Jersey

NPI Number1407643521
Practice location
590 Lower Landing RD Unit 183, Blackwood, NJ 08012-4125
Fax
—
Last updated
June 8, 2026

Khalil Elliott is a Social Worker based in Blackwood, NJ. Khalil Elliott practices in Blackwood, NJ and has the professional credentials of MBA, MSW, LSW. The NPI Number for Khalil Elliott is 1407643521 and holds a License No. SW140668 (PA). The current practice location address for Khalil Elliott is 590 Lower Landing RD Unit 183, Blackwood, NJ 08012-4125 and can be reached out via phone at 267-581-5696.

Provider Profile Details

NPI Number
1407643521
Provider Name
Khalil Elliott
Credential
MBA, MSW, LSW
Provider Entity Type
Individual
Gender
Male
Address
590 Lower Landing RD Unit 183, Blackwood, NJ 08012-4125
Phone Number
267-581-5696
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2025
Last Update Date
June 8, 2026
Certification Date
June 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
590 Lower Landing RD Unit 183
Blackwood, NJ 08012-4125
Zip
08012-4125
Phone Number
267-581-5696
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
590 Lower Landing RD Unit 183
Blackwood, NJ 08012-4125
City
Blackwood
State
NJ
Zip
08012-4125
Phone Number
267-581-5696

License Information

License Number
SW140668
License State
PA
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Khalil Elliott, MBA, MSW, LSW?

The NPI number of Mr. Khalil Elliott, MBA, MSW, LSW is 1407643521. It was assigned on April 22, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Khalil Elliott, MBA, MSW, LSW?

Mr. Khalil Elliott, MBA, MSW, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in PA under license number SW140668.

Where does Mr. Khalil Elliott, MBA, MSW, LSW practice?

The practice location is 590 Lower Landing RD Unit 183, Blackwood, NJ 08012-4125. The office can be reached at 267-581-5696 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407643521 directly on the NPPES registry website.

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