Active NPI
Elizabeth Kelzer, LCSW
- Clinical Social Worker
- Seminole, FL
National Provider Identifier
1659708162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 11268
- Practice address
- 6719 121St St
Seminole, FL 33772-5612 - Phone
- (727) 647-1951
- NPI assigned
- Sep 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 11268 | FL | Primary |
Addresses
Primary practice location
6719 121St St
Seminole, FL 33772-5612
Mailing address
6719 121St St
Seminole, FL 33772-5612
Phone (727) 647-1951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 674352896 | Medicaid | FL |
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 |
|---|---|---|---|
| SW 11268 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380326400000",
"number": "1659708162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6719 121ST ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337725612",
"telephone_number": "727-647-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6719 121ST ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337725612",
"telephone_number": "727-647-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELZER",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-28",
"last_updated": "2013-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 11268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "674352896",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.