Individual provider Active NPI

Liza Bove, LCSW

  • Clinical Social Worker
  • Goshen, NY
National Provider Identifier
1700922200
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073310-1 Issued in NY
Practice address
305 Main St Ste 2
Goshen, NY 10924-1639
Phone
(845) 551-8772
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 126913 MA
Clinical Social Worker 1041C0700X 073310-1 NY Primary

Addresses

Primary practice location

305 Main St Ste 2
Goshen, NY 10924-1639

Mailing address

305 Main St Ste 2
Goshen, NY 10924-1639
Phone (845) 551-8772

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
I20090702000182 NY Practitioner - Clinical Social Worker 9638189491 Reassigns benefits to 1 organization
Practice locations: Goshen, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126913MAMDClinical Social Worker
073310-1NYMDClinical Social Worker
056740NYMDPharmacist
073310NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Liza Bove LCSW Psychotherapy PLLC Clinical CurrentSince Jul 3, 2023 Accepting new patients

Locations

305 Main St
Goshen, NY 10924
Phone (845) 294-4241

305 Main St
Ste 2
Goshen, NY 10924
Phone (845) 551-8772

Organizations & group practices 1

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.

Care Compare profile

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

Practice addresses (Care Compare)

305 Main St
Goshen, NY 10924-1638
Phone (845) 551-8772

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1700922200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAIN ST STE 2",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241639",
            "telephone_number": "845-551-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAIN ST STE 2",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241639",
            "telephone_number": "845-551-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVE",
        "first_name": "LIZA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126913",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073310-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.