Individual provider Active NPI

Elizabeth G. Zoob, L.I.C.S.W.

  • Clinical Social Worker
  • Roslindale, MA
National Provider Identifier
1265480529
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103840 Issued in MA
Practice address
47 Arborough Rd
Roslindale, MA 02131-1601
Phone
(617) 333-8394
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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 103840 MA Primary

Addresses

Primary practice location

47 Arborough Rd
Roslindale, MA 02131-1601

Mailing address

47 Arborough Rd
Roslindale, MA 02131-1601
Phone (617) 327-2883

Other identifiers 1

IdentifierTypeStateIssuer
103840OtherMASOCIAL WORK LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040817000248 MA Practitioner - Clinical Social Worker 2365415502 Practice locations: Roslindale, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 Arborough Rd
Roslindale, MA 02131-1601
Phone (617) 333-8394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103840MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1265480529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ARBOROUGH RD",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311601",
            "telephone_number": "617-327-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ARBOROUGH RD",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311601",
            "telephone_number": "617-333-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOOB",
        "first_name": "ELIZABETH",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "103840",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

Verify at the official NPI Registry.