Individual provider Active NPI

Carol Jean Litzler, LICSW

  • Clinical Social Worker
  • Harvard, MA
National Provider Identifier
1801989132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102364 Issued in MA
Practice address
249 Ayer Rd
Suite Number 204
Harvard, MA 01451-1133
Phone
(508) 517-2322
Fax
(978) 772-6980
NPI assigned
Sep 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 102364 MA Primary

Addresses

Primary practice location

249 Ayer Rd
Suite Number 204
Harvard, MA 01451-1133

Mailing address

256 Brown Bear Xing
Acton, MA 01718-1003
Phone (978) 929-9894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102364MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801989132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BROWN BEAR XING",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017181003",
            "telephone_number": "978-929-9894",
            "fax_number": "978-772-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 AYER RD",
            "address_2": "SUITE NUMBER 204",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511133",
            "telephone_number": "508-517-2322",
            "fax_number": "978-772-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITZLER",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvard, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.