Individual provider Active NPI

Elizabeth Terlizzi, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1295271658
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007670A Issued in IN
Practice address
5555 N Tacoma Ave Ste 204
Indianapolis, IN 46220-3547
Phone
(317) 257-7434
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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 34007670A IN Primary

Addresses

Primary practice location

5555 N Tacoma Ave Ste 204
Indianapolis, IN 46220-3547

Mailing address

5555 N Tacoma Ave Ste 204
Indianapolis, IN 46220-3547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170509001037 IN Practitioner - Clinical Social Worker 8123305711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer Oaks Illinois LLCGroup PAC ID 8628375730, 16 clinicians

Practice addresses (Care Compare)

1325 N Rockport Rd
Boonville, IN 47601-2346
Phone (210) 615-3460

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
77.43
Improvement activities
40
Cost
70.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007670AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks West LLC CurrentSince Oct 1, 2024 Accepting new patients
Sanders and Associates. LLC Clinical CurrentSince Apr 3, 2017 Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

1325 N Rockport Rd
Boonville, IN 47601
Phone (317) 852-8585

5555 N Tacoma Ave
Ste 204
Indianapolis, IN 46220
Phone (317) 257-7434

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

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": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1295271658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N TACOMA AVE STE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N TACOMA AVE STE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203547",
            "telephone_number": "317-257-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERLIZZI",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007670A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.