Elizabeth Fosse, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28669 Issued in MN

Practice address

5125 County Rd
Suite 300
Minnetonka, MN 55345-4157

Phone

(952) 932-7277

Fax

(952) 932-9827

NPI assigned

Dec 21, 2023

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

Other names 1

• Liz Fosse Other name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Relate Inc

  • Community/Behavioral Health Agency
  • Minnetonka, MN
  • NPI 1053486902
  Medicare reassignment NPD

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1477322287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 COUNTY RD",
            "address_2": "SUITE 300",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454157",
            "telephone_number": "952-932-7277",
            "fax_number": "952-932-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 COUNTY RD",
            "address_2": "SUITE 300",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454157",
            "telephone_number": "952-932-7277",
            "fax_number": "952-932-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSSE",
        "first_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "FOSSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anne Judith Ford, LICSW
• Wanda Sue Forloines-Lynn, NP
• Gregory Charles Fors, DC
• Patricia Kay Fortier, CRNA
• Lauren Fortman, MA, LADC, LPCC
• Jeffrey Paul Foster, D.D.S., M.S.D.
• Jessica Fowler, MA, LMFT
• Fox Rehabilitation Services MN LLC
• Rachel VI Frailich, PSYD
• Maria P. Franco, APRN

• Clinical Social Worker in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.