Individual provider Active NPI

Elizabeth Landsberg, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1962422865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R023919 Issued in NY
Practice address
40 Ocean Pkwy
5C
Brooklyn, NY 11218-1549
Phone
(718) 972-9552
Fax
(718) 972-9552
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R023919 NY Primary

Addresses

Primary practice location

40 Ocean Pkwy
5C
Brooklyn, NY 11218-1549

Mailing address

40 Ocean Pkwy
5C
Brooklyn, NY 11218-1549
Phone (718) 972-9552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20041022001014 NY Practitioner - Clinical Social Worker 8123089158 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Ocean Pkwy
5C
Brooklyn, NY 11218-1536
Phone (718) 972-9552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R023919NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
National Neighborhood Counseling Center Inc PastSince Feb 4, 1991 Accepting new patients

Organizations & group practices 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962422865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OCEAN PKWY",
            "address_2": "5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181549",
            "telephone_number": "718-972-9552",
            "fax_number": "718-972-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OCEAN PKWY",
            "address_2": "5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181549",
            "telephone_number": "718-972-9552",
            "fax_number": "718-972-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSBERG",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R023919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.