Individual provider Active NPI

Elizabeth Cleveland Fenzel, LCSW

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1538327358
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16622 Issued in MD
Practice address
7910 Woodmont Ave Ste 1101
Bethesda, MD 20814-7059
Phone
(301) 750-7334
NPI assigned
May 29, 2008
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X 16622 MD Primary

Addresses

Primary practice location

7910 Woodmont Ave Ste 1101
Bethesda, MD 20814-7059

Mailing address

7910 Woodmont Ave Ste 1101
Bethesda, MD 20814-7059
Phone (301) 750-7334

Other practice location 1

1990 41st Ave
San Francisco, CA 94116-1101
Phone (415) 753-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 8, 2024 through Feb 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16622MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1538327358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVE STE 1101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208147059",
            "telephone_number": "301-750-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVE STE 1101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208147059",
            "telephone_number": "301-750-7334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 41st Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941161101",
            "country_code": "US",
            "telephone_number": "415-753-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENZEL",
        "first_name": "ELIZABETH",
        "middle_name": "CLEVELAND",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.