Individual provider Active NPI

Elizabeth M Andress, LCSW

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1649330341
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9164 Issued in FL
Practice address
700 N Hiatus Rd
Pembroke Pines, FL 33026-5206
Phone
(954) 431-0411
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW9164 FL Primary
Clinical Social Worker 1041C0700X 075979-1 NY

Addresses

Primary practice location

700 N Hiatus Rd
Pembroke Pines, FL 33026-5206

Mailing address

905 NE 199TH St Apt 108
Miami, FL 33179-5816
Phone (786) 693-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090310000219 FL Practitioner - Clinical Social Worker 8022174473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW9164FLMDClinical Social Worker
075979-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michelle Channing PA CurrentSince Jun 27, 2017 Accepting new patients
Elizabeth M. Andress, P.a. Current Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

2741 Executive Park Dr
Ste 3
Weston, FL 33331
Phone (954) 289-5472

2741 Executive Park Dr
Ste 1
Weston, FL 33331
Phone (954) 385-6750

Organizations & group practices 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1649330341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 NE 199TH ST APT 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795816",
            "telephone_number": "786-693-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265206",
            "telephone_number": "954-431-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESS",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9164",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075979-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.