Individual provider Active NPI

Elizabeth T Waszkiewicz, L.C.S.W.

  • Clinical Social Worker
  • Berlin, CT
National Provider Identifier
1689988172
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.008085 Issued in CT
Practice address
96 Langdon CT
Berlin, CT 06037-1344
Phone
(860) 978-7108
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 58.008085 CT Primary

Addresses

Primary practice location

96 Langdon CT
Berlin, CT 06037-1344

Mailing address

96 Langdon CT
Berlin, CT 06037-1344
Phone (860) 978-7108

Other practice location 1

53 New Britain Ave
Rocky Hill, CT 06067-1175
Phone (860) 348-5735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220607000851 CT Practitioner - Clinical Social Worker 0143608992 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.008085CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Mar 29, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 11, 2024 Accepting new patients
Where the Light Gets in LLC CurrentSince Dec 8, 2024 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

30 Boston Rd
Middletown, CT 06457
Phone (860) 346-9299

53 New Britain Ave
Rocky Hill, CT 06067
Phone (860) 257-8445

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1689988172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LANGDON CT",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371344",
            "telephone_number": "860-978-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 LANGDON CT",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371344",
            "telephone_number": "860-978-7108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 New Britain Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "060671175",
            "country_code": "US",
            "telephone_number": "860-348-5735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASZKIEWICZ",
        "first_name": "ELIZABETH",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.008085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

Verify at the official NPI Registry.