Elizabeth Lake, MED AND LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S0800835 Issued in OH

Practice address

521 Beall Ave
Wooster, OH 44691-3589

Phone

(330) 262-7836

NPI assigned

Jan 16, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1356588057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2078 W SMITHVILLE WESTERN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918500",
            "telephone_number": "330-262-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913589",
            "telephone_number": "330-262-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MED AND LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S0800835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Kyereme
• Sloan Kyler, LSW
• Kristen E. Labbe, BSW, LSW
• Michael Henry Ladousier, LISW
• Louree L Ladrach, LISW, LICDC
• Jennifer Lake
• Sean Lally
• Kaitlyn Anne Lamb, LSW
• Taneal Lamb
• David R Lance, DO

• Mental Health Counselor in Wooster, OH
• Providers in Wooster, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.