Elizabeth Kingsbury-Puscas, MSW, LCSW, CPSD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1022 Douglas Rd
Oswego, IL 60543-5133

Phone

(630) 708-0802

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Waterford Counseling and Psychological Services, PC

  • Clinical Psychologist
  • Aurora, IL
  • NPI 1104250067
  Medicare reassignment NPD

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1942852777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 WREN ROAD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "60560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435133",
            "telephone_number": "630-708-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBURY-PUSCAS",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, CPSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Daniel Kent, FNP-BC FPA
• Jamee S Kerkman, LCPC
• Affan R Khan, DPT
• Amanda Kimball
• Latoya King, REGISTERED NURSE
• Miranda May Kinsinger, MSN, APRN, FNP-BC
• Ramona K Kitching, PA-C
• Danielle Knaak
• Nicole Kristine Knepper, LCPC
• Anthony Raymond Kokalj, M.A.

• Clinical Social Worker in Oswego, IL
• Providers in Oswego, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.