Individual provider Active NPI

Elizabeth Kei Suzuki, LCSW

  • Social Worker
  • Calabasas, CA
National Provider Identifier
1811971054
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS10585 Issued in CA
Practice address
3541 Adamsville Ave
Calabasas, CA 91302-5802
Phone
(818) 481-2156
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS10585 CA Primary

Addresses

Primary practice location

3541 Adamsville Ave
Calabasas, CA 91302-5802

Mailing address

3541 Adamsville Ave
Calabasas, CA 91302-5802
Phone (818) 481-2156

Other identifiers 1

IdentifierTypeStateIssuer
0673432MedicaidCA

Other names 1

  • Elizabeth Kei Zuckerwise Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051115000886 CA Practitioner - Clinical Social Worker 6103845532 Practice locations: Calabasas, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Calabasas, CA 91302
Phone (818) 481-2156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS10585CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1811971054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 ADAMSVILLE AVE",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025802",
            "telephone_number": "818-481-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 ADAMSVILLE AVE",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025802",
            "telephone_number": "818-481-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "ELIZABETH",
        "middle_name": "KEI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS10585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0673432",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ZUCKERWISE",
            "middle_name": "KEI",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.