Active NPI
Elizabeth R. Traverso
- Clinical Social Worker
- Woodside, NY
National Provider Identifier
1194865519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R033668-1
- Practice address
- 6714 41St Ave
Woodside, NY 11377-3790 - Phone
- (718) 458-4243
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R033668-1 | NY | Primary |
Addresses
Primary practice location
6714 41St Ave
Woodside, NY 11377-3790
Mailing address
8956 162ND St FL 2
Jamaica, NY 11432-5072
Phone (718) 657-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R033668-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1194865519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8956 162ND ST FL 2",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325072",
"telephone_number": "718-657-7100",
"fax_number": "718-657-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6714 41ST AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773790",
"telephone_number": "718-458-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVERSO",
"first_name": "ELIZABETH",
"middle_name": "R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R033668-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.