Individual provider Active NPI

Elizabeth Dresser, LGSW

  • Social Worker
  • Forestville, MD
National Provider Identifier
1871704346
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
G11755 Issued in MD
Practice address
3900 Forestville Rd
Forestville, MD 20747-4715
Phone
(301) 736-2636
Fax
(301) 736-2405
NPI assigned
May 25, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 G11755 MD Primary

Addresses

Primary practice location

3900 Forestville Rd
Forestville, MD 20747-4715

Mailing address

4348 Carmelo Dr
#201
Annandale, VA 22003-5244
Phone (703) 942-5321

Other identifiers 3

IdentifierTypeStateIssuer
0903001344MedicaidVA
G11755MedicaidMD
LG50077958MedicaidDC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G11755MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871704346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 CARMELO DR",
            "address_2": "#201",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035244",
            "telephone_number": "703-942-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FORESTVILLE RD",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474715",
            "telephone_number": "301-736-2636",
            "fax_number": "301-736-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESSER",
        "first_name": "ELIZABETH",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G11755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0903001344",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G11755",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LG50077958",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.