Active NPI
Elizabeth Ann Gryczko-Drazien, LMSW, LSW,LCSW
- Clinical Social Worker
- Harrisburg, PA
National Provider Identifier
1306917414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016650
- Practice address
- 2023 N 2ND St
Suite 112
Harrisburg, PA 17102-2151 - Phone
- (570) 575-6971
- NPI assigned
- Nov 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW127810 | PA | |
| Clinical Social Worker | 1041C0700X | CW016650 | PA | Primary |
Addresses
Primary practice location
2023 N 2ND St
Suite 112
Harrisburg, PA 17102-2151
Mailing address
2023 N 2ND St
Suite 112
Harrisburg, PA 17102-2151
Phone (570) 575-6971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024474770001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW127810 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1306917414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 N 2ND ST",
"address_2": "SUITE 112",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171022151",
"telephone_number": "570-575-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 N 2ND ST",
"address_2": "SUITE 112",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171022151",
"telephone_number": "570-575-6971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRYCZKO-DRAZIEN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMSW, LSW,LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-11",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW127810",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024474770001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.