Elizabeth M Labuzienski, MSW, LSW
Individual provider Active NPI Social Worker · Lagrange, IN
NPI 1831636679 · NPPES record last updated Jan 31, 2017
Key facts
- NPI
- 1831636679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 836 N Detroit St
Lagrange, IN 46761-1112 - Phone
- (260) 499-3019
- Fax
- (260) 499-3022
- NPI assigned
- Jan 31, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
836 N Detroit St
Lagrange, IN 46761-1112
Mailing address
2621 E Jefferson St
Warsaw, IN 46580-3880
Phone (574) 267-7169
Other providers in Lagrange, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.