Elise Landau, L.I.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104941 Issued in MA

Practice address

67 Union St
M.O.B. Suite 205
Natick, MA 01760-7700

Phone

(617) 723-5817

Fax

(508) 647-0333

NPI assigned

Dec 28, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Psychservices, PC

  dba Leonard Morse Counseling Center

  • Professional Counselor
  • Natick, MA
  • NPI 1124191861
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1467518043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812071",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024820013",
            "telephone_number": "617-723-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "address_2": "M.O.B. SUITE 205",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "617-723-5817",
            "fax_number": "508-647-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "ELISE",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P03116",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Lam
• Cho Wai Lam
• Sofia Lamarche Funcia
• Katherine Lamarre, OTD, OTR/L
• Stephanie Lambert
• Lisa Landon, PTA
• Andrew Samuel Lane, M.D.
• Gabriella Lane
• Robert S. Langer, ED.D
• Alexandra Laniewski, DPT

• Clinical Social Worker in Natick, MA
• Providers in Natick, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.