Individual provider Active NPI

Elizabeth Lucille Hansen, MSW, LCSW

  • Clinical Social Worker
  • Hawthorne, NY
National Provider Identifier
1659300648
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070053-1 Issued in NY
Practice address
19 Bradhurst Ave
Hawthorne, NY 10532-2140
Phone
(914) 493-7585
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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 070053-1 NY Primary

Addresses

Primary practice location

19 Bradhurst Ave
Hawthorne, NY 10532-2140

Mailing address

12 Lynwood Rd
Scarsdale, NY 10583-3607
Phone (914) 769-1636

Other practice location 1

151 E Post Rd
suite 121
White Plains, NY 10601-5207
Phone (914) 309-1930

Other names 1

  • Elizabeth Lokhaug Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060215000741 NY Practitioner - Clinical Social Worker 8729093539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr J Stern Psychological Services PCGroup PAC ID 3274906953, 5 clinicians

Practice addresses (Care Compare)

6007 19TH Ave
Brooklyn, NY 11204-2337
Phone (718) 234-2506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070053-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr J Stern Psychological Services PC CurrentSince Jul 1, 2023 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jan 13, 2020 Accepting new patients
Boston Children'S Health Physicians, LLP CurrentSince Jan 13, 2020 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

Interoperability endpoints

  • Direct secure messaging: elizabeth.hansen.1@30520.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1659300648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LYNWOOD RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833607",
            "telephone_number": "914-769-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-493-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 E Post Rd",
            "address_2": "suite 121",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106015207",
            "country_code": "US",
            "telephone_number": "914-309-1930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ELIZABETH",
        "middle_name": "LUCILLE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070053-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LOKHAUG",
            "credential": "MSW, LCSW, LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.