Elizabeth Rose Ahner
Individual provider Active NPI Social Worker · Albany, NY
NPI 1568802494 · NPPES record last updated Jun 25, 2013
Key facts
- NPI
- 1568802494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 0740181 (NY)
- Practice address
- 260 S Pearl St
Albany, NY 12202-1809 - Phone
- (518) 447-4555
- Fax
- (518) 447-4577
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171117001785 | NY | Practitioner - Clinical Social Worker | 0042576407 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0740181 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany County | Current |
Accepting new patients | |
| Albany County | Current |
Accepting new patients |
Locations
260 S Pearl St
Albany, NY 12202
Phone (518) 447-4550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0740181 | NY | Yes |
Addresses
Primary practice location
260 S Pearl St
Albany, NY 12202-1809
Mailing address
260 S Pearl St
Albany, NY 12202-1809
Phone (518) 447-4555
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.