Individual provider Active NPI

Elizabeth Hartman, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1265898316
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009407 Issued in NC
Practice address
16 Brookwood Ave
Wilmington, NC 28403-1108
Phone
(917) 558-3313
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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 C009407 NC Primary

Addresses

Primary practice location

16 Brookwood Ave
Wilmington, NC 28403-1108

Mailing address

16 Brookwood Ave
Wilmington, NC 28403-1108
Phone (917) 558-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180413000859 NC Practitioner - Clinical Social Worker 6406157916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling CenterGroup PAC ID 7911186168, 3 clinicians

Practice addresses (Care Compare)

4810 Wrightsville Ave
Wilimington, NC 28403-6917
Phone (910) 452-7370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009407NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Center CurrentSince May 1, 2019 Accepting new patients
Presbyterian Counseling Center PastSince May 1, 2019 Accepting new patients
Elizabeth Hartman Clinical Past Accepting new patients

Locations

4810 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-7370

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1265898316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BROOKWOOD AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031108",
            "telephone_number": "917-558-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BROOKWOOD AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031108",
            "telephone_number": "917-558-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.