Organization Active NPI

Elizabeth M. Andress, P.a.

  • Social Worker
  • Ft Lauderdale, FL
National Provider Identifier
1245559335
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW9164 Issued in FL
Legal business name
ELIZABETH M. ANDRESS, P.A.
Practice address
1975 E Sunrise Blvd
629
Ft Lauderdale, FL 33304-1433
Phone
(305) 790-4065
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Ms. Elizabeth M Andress, LCSWNPI 1649330341
Title
President
Phone
(305) 790-4065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X SW9164 FL Primary

Addresses

Primary practice location

1975 E Sunrise Blvd
629
Ft Lauderdale, FL 33304-1433

Mailing address

1975 E Sunrise Blvd
629
Ft Lauderdale, FL 33304-1433
Phone (305) 790-4065

Other identifiers 1

IdentifierTypeStateIssuer
Z170WOtherFLBCBS

National Provider Directory

National Provider Directory

Locations

1975 E Sunrise Blvd
Ste 629
Ft Lauderdale, FL 33304
Phone (305) 790-4065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1245559335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 E SUNRISE BLVD",
            "address_2": "629",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041433",
            "telephone_number": "305-790-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 E SUNRISE BLVD",
            "address_2": "629",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041433",
            "telephone_number": "305-790-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH M. ANDRESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "ANDRESS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-790-4065",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW9164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z170W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.