Individual provider Active NPI

Elizabeth K. Spitz, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1013426428
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092174 Issued in NY
Practice address
125 E 84TH St Ste 1C
New York, NY 10028-0902
Phone
(646) 481-6012
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 092174 NY Primary
Social Worker 104100000X 101822 NY

Addresses

Primary practice location

125 E 84TH St Ste 1C
New York, NY 10028-0902

Mailing address

125 E 84TH St Ste 1C
New York, NY 10028-0902
Phone (646) 481-6012

Other practice location 1

175 Remsen St Fl 4
Brooklyn, NY 11201-4300
Phone (646) 481-6012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022000567 NY Practitioner - Clinical Social Worker 5799173811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Young Adult Institute IncGroup PAC ID 1153216353, 28 clinicians

Practice addresses (Care Compare)

227 E 41St St
FL 8
New York, NY 10017-6927
Phone (212) 273-6521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101822NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Young Adult Institute, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Premier Healthcare, Inc. Past Accepting new patients
Premier Healthcare, Inc. PastSince Oct 1, 2021 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

3060 E Tremont Ave
#2
Bronx, NY 10461

175 Remsen St
Fl 4
Brooklyn, NY 11201
Phone (212) 273-6182

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515

Interoperability endpoints

  • Direct secure messaging: elizabeth.spitz.p1@direct.premierhealthcare.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1013426428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E 84TH ST STE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280902",
            "telephone_number": "646-481-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 84TH ST STE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280902",
            "telephone_number": "646-481-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Remsen St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014300",
            "country_code": "US",
            "telephone_number": "646-481-6012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPITZ",
        "first_name": "ELIZABETH",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092174",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "101822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.