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ELISA LEE CORNEJO LCSW
NPI 1629709738
Social Worker - Clinical in La Crosse, WI

Active since June 20, 2022PECOS Enrolled
700 WEST AVENUE S, LA CROSSE, WI 54601(608) 785-0940 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Dec 22, 2022 (2 updates tracked since 2022).

About Elisa Lee Cornejo Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISA LEE CORNEJO LCSW (NPI 1629709738) is an individual clinical provider in La Crosse, Wisconsin, licensed in Minnesota (12153-123) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in La Crosse.

NPPES Registry Identity

NPI1629709738
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELISA LEE CORNEJOCredential: LCSW
Location Address700 WEST AVENUE SLa Crosse, WI 54601-8806
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (608) 785-0940
Phone(608) 785-0940
Sole ProprietorNo
Enumeration DateJune 20, 2022
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1629709738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 12153-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 132936-121 (WI), 12780 (WI)
700 WEST AVENUE S, La Crosse, WI 54601
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Secondary Practice Location 1

Location 1605 4th St SLA Crosse, WI 54601-4458 · Phone (608) 622-7612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisa Lee Cornejo Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elisa Cornejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
0.1 mi
Multi-Specialty
800 WEST AVE S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1841278637 (Wisconsin)
  • 1,003 clinicians in this Medicare group
NPI 1629056049 (608) 392-3861

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY CORINNE LOGAN D.O.
Pediatrics
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
MARTIN RAYMOND DITTMER MD
Dermatology
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
CHRISTINE LOTHEN-KLINE RDN, LDN
Dietitian, Registered
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
MICHELLE MOTTE VALIQUETTE PA-C
Physician Assistant
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
CHRISANNE M URBAN RD
Dietitian, Registered
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
JAMES C NESLER DO
Anesthesiology
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
ERIC D GRUBE DO
Emergency Medicine
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 392-7000
JOSEPH R BEHN MD
Hospitalist
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisa Cornejo's NPI number?

The NPI number for Elisa Cornejo is 1629709738. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Elisa Cornejo located?

Elisa Cornejo practices at 700 West Avenue S, La Crosse, WI 54601. The listed phone number is (608) 785-0940.

What is Elisa Cornejo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elisa Cornejo enrolled in Medicare?

Yes. Elisa Cornejo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elisa Cornejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Cornejo reassigns Medicare benefits to Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elisa Cornejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elisa Cornejo was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.