Active NPI
Elizabeth Vander Schuyt, LCSW
- Social Worker
- Bay Shore, NY
National Provider Identifier
1114092624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 071524
- Practice address
- 1444 Fifth Avenue
Bay Shore, NY 11706 - Phone
- (631) 647-3100
- Fax
- (631) 647-3130
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 071524 | NY | Primary |
Addresses
Primary practice location
1444 Fifth Avenue
Bay Shore, NY 11706
Mailing address
110 Wind Watch Drive
Hauppauge, NY 11788
Phone (631) 582-4634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071524 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114092624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WIND WATCH DRIVE",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "11788",
"telephone_number": "631-582-4634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 FIFTH AVENUE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-647-3100",
"fax_number": "631-647-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDER SCHUYT",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "071524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.