Lizabeth R Eller, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2212 Issued in OR

Practice address

750 Commercial St Ste 214
Astoria, OR 97103-4546

Phone

(503) 325-7990

NPI assigned

Oct 16, 2011

Last updated

Oct 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Public Hospital District 3 of Pacific CountyGroup PAC ID 7214822105, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Public Hospital District 3 of Pacific County

  dba Ocean Beach Hospital

  • Critical Access Hospital
  • Ilwaco, WA
  • NPI 1295771376
  Medicare reassignment Care Compare group NPD
• Public Hospital District 3 of Pacific County

  dba Ocean Beach Medical Group -Ocean Park

  • Rural Health Clinic/Center
  • Ocean Park, WA
  • NPI 1417482191
  NPD
• Public Hospital District 3 of Pacific County

  dba Ocean Beach Medical Clinic

  • Rural Health Clinic/Center
  • Iiwaco, WA
  • NPI 1639165905
  NPD (past)

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318723200000",
    "number": "1285919704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 COMMERCIAL ST STE 214",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034546",
            "telephone_number": "503-325-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 COMMERCIAL ST STE 214",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034546",
            "telephone_number": "503-325-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "LIZABETH",
        "middle_name": "R",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Dyer, MS, CCC-SLP
• Earth Source Medicine (Astoria Integrative Family Medicine)
• Kellie Wilson Edwards, MD
• Yvonne J. Edwards, LPC
• Kathryn Eisses
• Mark Owen Ellis, DPM
• Kimberly Sue Eltzroth, M.D.
• Tracy Erfling, ND
• Ann Gogenola Erickson, MS, CCCSLP
• Jason C Erickson

• Clinical Social Worker in Astoria, OR
• Providers in Astoria, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.