Active NPI
Elizabeth Hadzic, LCSWC
- Mental Health Counselor
- Rockville, MD
National Provider Identifier
1114443884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC7937
- Practice address
- 15825 Shady Grove Rd Ste 35
Rockville, MD 20850-4033 - Phone
- (301) 672-4319
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC7937 | MD | Primary |
Addresses
Primary practice location
15825 Shady Grove Rd Ste 35
Rockville, MD 20850-4033
Mailing address
6344 Springwater Ter
Frederick, MD 21701-7658
Phone (806) 438-8434
Other practice location 1
176 Thomas Johnson Dr
Frederick, MD 21702-4410
Phone (301) 672-4319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Medicaid | MD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC7937 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1114443884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6344 SPRINGWATER TER",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217017658",
"telephone_number": "806-438-8434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15825 SHADY GROVE RD STE 35",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504033",
"telephone_number": "301-672-4319"
}
],
"practiceLocations": [
{
"address_1": "176 Thomas Johnson Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024410",
"country_code": "US",
"telephone_number": "301-672-4319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HADZIC",
"first_name": "ELIZABETH",
"credential": "LCSWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC7937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.