Elisabeth Anne Iacovelli, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015211 Issued in PA

Practice address

807 Lawn Ave
Sellersville, PA 18960-1549

Phone

(215) 257-6551

Fax

(215) 257-9347

NPI assigned

Jul 3, 2006

Last updated

Aug 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elisabeth Anne Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1144250465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 PENNLAND CT",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464332",
            "telephone_number": "267-210-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "215-257-6551",
            "fax_number": "215-257-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOVELLI",
        "first_name": "ELISABETH",
        "middle_name": "ANNE",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015211",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "PA",
            "license": "CW015211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012718240002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "SMITH",
            "middle_name": "ANNE",
            "credential": "M.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Hull, PA-C
• James Michael Hurley, MD
• Lara N Hurvitz, B.A.
• Diana M Hutchings, MD
• Christine H Hutnyk, CRNP
• Teresa L Iezzi, BSW
• Tamoor Ilyas, DO
• Amanda Dawn Immel, RN
• Sharlene D Immel, RN
• Independence Foot and Ankle Associates LLC

• Clinical Social Worker in Sellersville, PA
• Providers in Sellersville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.