Elizabeth C Fiebach

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014893 Issued in PA

Practice address

8001 Roosevelt Blvd
Suite 301
Philadelphia, PA 19152-3038

Phone

(215) 331-3200

Fax

(215) 331-3977

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356411490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W WASHINGTON SQ",
            "address_2": "#2804",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063513",
            "telephone_number": "215-815-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-331-3200",
            "fax_number": "215-331-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEBACH",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2399738000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Thomas Fickle III, DO
• Andrea L Fidler, PHD, MPH
• Erin Leigh Fidler, MED, ATC, CSCS
• Joshua Ryan Fidler
• Stephanie Fiduk, FNP
• Anne-Ashley Field, MOT
• Bethany Ann Field, CRNP
• Justin Field, MD
• Marissa Field
• Maxine M. Field, PH D

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.