Organization Active NPI

Elizabeth Kuson Lisw-S, LLC

  • Clinical Social Worker
  • Ashtabula, OH
National Provider Identifier
1740890110
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELIZABETH KUSON LISW-S, LLC
Practice address
355 W Prospect Rd Ste 116C
Ashtabula, OH 44004-5830
Phone
(330) 221-5951
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Elizabeth Kuson, LISW-S
Title
Owner/Therapist
Phone
(330) 221-5951

Specialties & licenses 1

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

Addresses

Primary practice location

355 W Prospect Rd Ste 116C
Ashtabula, OH 44004-5830

Mailing address

6322 Trumbull Rd
Geneva, OH 44041-9333
Phone (330) 221-5951

Other identifiers 1

IdentifierTypeStateIssuer
1619351087OtherOHINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

355 W Prospect Rd
Ste 116C
Ashtabula, OH 44004
Phone (330) 221-5951

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1740890110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 TRUMBULL RD",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440419333",
            "telephone_number": "330-221-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W PROSPECT RD STE 116C",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045830",
            "telephone_number": "330-221-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH KUSON LISW-S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "KUSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "330-221-5951",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1619351087",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.