Elizabeth Kovack Krantz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS9821 Issued in CA

Practice address

760 Shadowridge Dr
Vista, CA 92083-7986

Phone

(760) 599-2350

Fax

(760) 599-2399

NPI assigned

Oct 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Krantz Kovack Other name

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": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1407156979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 HAWK VIEW DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 SHADOWRIDGE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920837986",
            "telephone_number": "760-599-2350",
            "fax_number": "760-599-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANTZ",
        "first_name": "ELIZABETH",
        "middle_name": "KOVACK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KOVACK",
            "middle_name": "KRANTZ",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alysia Michelle Silka Komar, LVN
• Su Jian Kong, PHARMD
• Ashley Ann-Robbins Koppel, DDS
• Jhaleh Kousari, WHNP, CNM
• Michael D Krak, M.D.
• Laura Inga Kranz
• Daniela Krashenny
• Gerald Milton Krater, DDS
• Scott Eugene Krause, DDS
• Robert William Kreiss, CADC-II, ICADC

• Clinical Social Worker in Vista, CA
• Providers in Vista, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.