Active NPI
Elizabeth Hartz, MSW, LSW
- Clinical Social Worker
- Mount Vernon, OH
National Provider Identifier
1790026466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I1600244
- Practice address
- 17606 Coshocton Rd
Mount Vernon, OH 43050-9218 - Phone
- (740) 397-7568
- NPI assigned
- Mar 6, 2013
- Last updated
- Apr 26, 2018
- Sex
- Female
- Sole proprietor
- No
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 | I1600244 | OH | Primary |
Addresses
Primary practice location
17606 Coshocton Rd
Mount Vernon, OH 43050-9218
Mailing address
2803 Akron Rd
Wooster, OH 44691-7904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Ohio State University College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
935 River Rd
Suite C
Granville, OH 43023-9538
Phone (740) 587-1543
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I1600244 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian Barkett, Psy.D LLC | Current | Accepting new patients |
Locations
935 River Rd
Ste C
Granville, OH 43023
Phone (740) 587-1543
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1790026466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 AKRON RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17606 COSHOCTON RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430509218",
"telephone_number": "740-397-7568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZ",
"first_name": "ELIZABETH",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I1600244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.