Elizabeth Frances Rezek, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15804 Issued in MN

Practice address

8813 Hale Ave S
Cottage Grove, MN 55016

Phone

(651) 895-4440

NPI assigned

Jul 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Frazier Recovery Home LLC

  • Clinical Social Worker
  • Cottage Grove, MN
  • NPI 1801313101
  NPD Authorized official
• Frazier Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • South St Paul, MN
  • NPI 1609430958

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1134432925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550160142",
            "telephone_number": "651-895-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 HALE AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "55016",
            "telephone_number": "651-895-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Veterans Dr",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554172309",
            "country_code": "US",
            "telephone_number": "612-629-7420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZEK",
        "first_name": "ELIZABETH",
        "middle_name": "FRANCES",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Frazier Rallis, DPT
• Raven Counseling LLC
• Reassurance Home Health Services LLC
• Rebound Home Healthcare LLC
• Amber M Rensink, NP
• Rho Psyche Solutions
• Landon Lindsey Rice, LICSW
• Rightchoice Health Care Services LLC
• Leia Christine Ritt, ATC
• Stevi Ritt, MA

• Clinical Social Worker in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.