Organization Active NPI

Elizabeth Bretz LCSW, P.C.

  • Clinical Social Worker
  • Nyack, NY
National Provider Identifier
1720637010
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELIZABETH BRETZ LCSW, P.C.
Practice address
142 Main St Ste 115
Nyack, NY 10960-3040
Phone
(845) 202-9881
Fax
(866) 594-4569
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Elizabeth Ann Bretz, LCSWNPI 1982985008
Title
Director/Owner
Phone
(845) 202-9881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

142 Main St Ste 115
Nyack, NY 10960-3040

Mailing address

8 Carlann LN
Valley Cottage, NY 10989-1408
Phone (845) 202-9881

National Provider Directory

National Provider Directory

Locations

142 Main St
Ste 115
Nyack, NY 10960
Phone (845) 202-9881

124 Washington St
Tappan, NY 10983
Phone (845) 359-1201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1720637010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CARLANN LN",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891408",
            "telephone_number": "845-202-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MAIN ST STE 115",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603040",
            "telephone_number": "845-202-9881",
            "fax_number": "866-594-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH BRETZ LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-12-28",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "BRETZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "845-202-9881",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.