Individual provider Active NPI

Elizabeth Fritz, LMSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1285187476
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
093332-1 Issued in NY
Practice address
665 Pelham Pkwy N
Suite 402
Bronx, NY 10467-8068
Phone
(718) 519-8326
Fax
(718) 881-8714
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 093332-1 NY Primary

Addresses

Primary practice location

665 Pelham Pkwy N
Suite 402
Bronx, NY 10467-8068

Mailing address

665 Pelham Pkwy N
Suite 402
Bronx, NY 10467-8068
Phone (718) 519-8326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260610000092 NY Practitioner - Clinical Social Worker 7517438534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

227 Madison St
New York, NY 10002-7537

227 Madison St
New York, NY 10002-7587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093332-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Urban Community Services Past Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1285187476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N",
            "address_2": "SUITE 402",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678068",
            "telephone_number": "718-519-8326",
            "fax_number": "718-881-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N",
            "address_2": "SUITE 402",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678068",
            "telephone_number": "718-519-8326",
            "fax_number": "718-881-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "093332-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.