Individual provider Active NPI

Elizabeth R Harsevoort, LMSW

  • Social Worker
  • Holland, MI
National Provider Identifier
1831407279
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801092545 Issued in MI
Practice address
355 Settlers Rd
Holland, MI 49423-3704
Phone
(616) 796-9595
Fax
(616) 796-9596
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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 6801092545 MI Primary

Addresses

Primary practice location

355 Settlers Rd
Holland, MI 49423-3704

Mailing address

355 Settlers Rd
Holland, MI 49423-3704
Phone (616) 796-9595

Other names 1

  • Elizabeth R Van Farowe Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1831407279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 SETTLERS RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233704",
            "telephone_number": "616-796-9595",
            "fax_number": "616-796-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 SETTLERS RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233704",
            "telephone_number": "616-796-9595",
            "fax_number": "616-796-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSEVOORT",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "VAN FAROWE",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.