Active NPI
Elizabeth Amber Hladczuk, LMSW
- Social Worker
- Williamsville, NY
National Provider Identifier
1609475276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 095024-02
- Practice address
- 388 Evans St
Williamsville, NY 14221-5626 - Phone
- (716) 580-7647
- NPI assigned
- Oct 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 095024-02 | NY | Primary |
Addresses
Primary practice location
388 Evans St
Williamsville, NY 14221-5626
Mailing address
93 Kelvin Dr
Tonawanda, NY 14223-2224
Phone (716) 645-2055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095024 | Other | NY | STATE EDUCATION DEPARTMENT, OFFICE OF PROFESSIONALS, DIVISION OF PROFESSIONAL LI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095024-02 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1609475276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 KELVIN DR",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "142232224",
"telephone_number": "716-645-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 EVANS ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215626",
"telephone_number": "716-580-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HLADCZUK",
"first_name": "ELIZABETH",
"middle_name": "AMBER",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "095024-02",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE EDUCATION DEPARTMENT, OFFICE OF PROFESSIONALS, DIVISION OF PROFESSIONAL LI",
"identifier": "095024",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.