Individual provider Active NPI

Elizabeth A Ressler-Craig, LICSW

  • Clinical Social Worker
  • Belmont, MA
National Provider Identifier
1891911194
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120474 Issued in MA
Practice address
115 Mill St
Belmont, MA 02478-1064
Phone
(800) 333-0338
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW002495 GA
Clinical Social Worker 1041C0700X 120474 MA Primary

Addresses

Primary practice location

115 Mill St
Belmont, MA 02478-1064

Mailing address

3500 Piedmont Rd NE
Suite 775
Atlanta, GA 30305-1507
Phone (404) 351-2008

Other practice location 1

3500 Piedmont Rd NE
Suite 775
Atlanta, GA 30305-1507
Phone (404) 351-2008

Other identifiers 2

IdentifierTypeStateIssuer
CSW002495OtherGACLINICAL LICENSE #
120474OtherMACLINICAL LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 7, 2016 through Feb 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW002495GAMDClinical Social Worker
120474MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Ressler-Craig, LLC Clinical Current Accepting new patients
Peachtree Psychiatric Professionals PC Past Accepting new patients
Peachtree Psychiatric Professionals, PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891911194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 PIEDMONT RD NE",
            "address_2": "SUITE 775",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051507",
            "telephone_number": "404-351-2008",
            "fax_number": "404-351-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781064",
            "telephone_number": "800-333-0338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Piedmont Rd NE",
            "address_2": "Suite 775",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303051507",
            "country_code": "US",
            "telephone_number": "404-351-2008",
            "fax_number": "404-351-0243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESSLER-CRAIG",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002495",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE #",
            "identifier": "CSW002495",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE #",
            "identifier": "120474",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

Verify at the official NPI Registry.