Individual provider Active NPI

Elizabeth McGee Seltzer-Willis, MSW, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1396201596
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
220 E Virginia St
Evansville, IN 47711-5530
Phone
(812) 431-5983
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 Primary

Addresses

Primary practice location

220 E Virginia St
Evansville, IN 47711-5530

Mailing address

5646 Oak Ridge Dr
Evansville, IN 47711-6709
Phone (812) 431-5983

Other names 1

  • Elizabeth Treado Former name

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
I20190904002752 IN Practitioner - Clinical Social Worker 5698004455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Seltzer-Willis LCSW LLCGroup PAC ID 2163862194, 3 clinicians

Practice addresses (Care Compare)

220 E Virginia St
Evansville, IN 47711-5530
Phone (812) 431-5983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Seltzer-Willis LCSW LLC Clinical CurrentSince Apr 17, 2024 Accepting new patients

Locations

220 E Virginia St
Evansville, IN 47711
Phone (812) 431-5983

Organizations & group practices 1

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1396201596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 OAK RIDGE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477116709",
            "telephone_number": "812-431-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E VIRGINIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477115530",
            "telephone_number": "812-431-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELTZER-WILLIS",
        "first_name": "ELIZABETH",
        "middle_name": "MCGEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "TREADO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.