Active NPI
Elizabeth Anna Szatkowski, LCSW
- Clinical Social Worker
- South Portland, ME
National Provider Identifier
1235442807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC5366
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435197199 | Medicaid | ME |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5366 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | 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.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.