Individual provider Active NPI

Elizabeth M Sanders, LCSW

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1639277189
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013750 Issued in PA
Practice address
3364 W 26TH St
Suite 100
Erie, PA 16506-2450
Phone
(814) 836-0494
Fax
(814) 833-5863
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW013750 PA Primary

Addresses

Primary practice location

3364 W 26TH St
Suite 100
Erie, PA 16506-2450

Mailing address

3364 W 26TH St
Suite 100
Erie, PA 16506-2450
Phone (814) 836-0494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804000932 PA Practitioner - Clinical Social Worker 8527345941 Reassigns benefits to 1 organization
Practice locations: Erie, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1330 W 26TH St
Erie, PA 16508-1402
Phone (814) 459-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013750PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Health of Upmc Hamot Clinical Current Accepting new patients
Safe Harbor Behavioral Health of Upmc Hamot CurrentSince Apr 30, 2024 Accepting new patients

Locations

1330 W 26th St
Erie, PA 16508
Phone (814) 451-2345

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1639277189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 W 26TH ST",
            "address_2": "SUITE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062450",
            "telephone_number": "814-836-0494",
            "fax_number": "814-833-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 W 26TH ST",
            "address_2": "SUITE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062450",
            "telephone_number": "814-836-0494",
            "fax_number": "814-833-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.