Active NPI
Elizabeth Young Quesenberry, LCSW-C
- Social Worker
- Severna Park, MD
National Provider Identifier
1376996314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 815 Ritchie Hwy Ste 108
Severna Park, MD 21146-4192 - Phone
- (804) 363-0153
- NPI assigned
- Jul 14, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
815 Ritchie Hwy Ste 108
Severna Park, MD 21146-4192
Mailing address
6745 Old Waterloo Rd Apt 224
Elkridge, MD 21075-7121
Phone (804) 363-0153
Other practice location 1
8258 Veterans Hwy
Suite 13
Millersville, MD 21108-1457
Phone (410) 768-6088
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1376996314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6745 OLD WATERLOO RD APT 224",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210757121",
"telephone_number": "804-363-0153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 RITCHIE HWY STE 108",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464192",
"telephone_number": "804-363-0153"
}
],
"practiceLocations": [
{
"address_1": "8258 Veterans Hwy",
"address_2": "Suite 13",
"address_purpose": "LOCATION",
"city": "Millersville",
"state": "MD",
"postal_code": "211081457",
"country_code": "US",
"telephone_number": "410-768-6088",
"fax_number": "410-768-6444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUESENBERRY",
"first_name": "ELIZABETH",
"middle_name": "YOUNG",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.