Individual provider Active NPI

Elizabeth Anna Szatkowski, LCSW

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1235442807
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC5366 Issued in ME
Practice address
50 Lydia LN
South Portland, ME 04106-2156
Phone
(207) 874-1175
NPI assigned
Jul 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC5366 ME Primary

Addresses

Primary practice location

50 Lydia LN
South Portland, ME 04106-2156

Mailing address

50 Lydia LN
South Portland, ME 04106-2156
Phone (207) 874-1175

Other identifiers 1

IdentifierTypeStateIssuer
435197199MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214001356 ME Practitioner - Clinical Social Worker 9234588393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC5366MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital CurrentSince Nov 7, 2023 Accepting new patients
Mercy Hospital CurrentSince Nov 7, 2023 Accepting new patients
Mercy Hospital Current Accepting new patients

Locations

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1235442807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LYDIA LN",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062156",
            "telephone_number": "207-874-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LYDIA LN",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062156",
            "telephone_number": "207-874-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZATKOWSKI",
        "first_name": "ELIZABETH",
        "middle_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435197199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.