Active NPI
Elizabeth A Andres, LCSW
- Clinical Social Worker
- Angola, IN
National Provider Identifier
1962956888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007568A
- Practice address
- 3265 Intertech Dr
Angola, IN 46703-7325 - Phone
- (260) 665-9494
- Fax
- (260) 665-9496
- NPI assigned
- Aug 9, 2016
- Last updated
- Aug 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34007568A | IN | Primary |
Addresses
Primary practice location
3265 Intertech Dr
Angola, IN 46703-7325
Mailing address
PO Box 817
Kendallville, IN 46755-0817
Phone (206) 347-2453
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1962956888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 817",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467550817",
"telephone_number": "206-347-2453",
"fax_number": "260-347-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3265 INTERTECH DR",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467037325",
"telephone_number": "260-665-9494",
"fax_number": "260-665-9496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRES",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007568A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Angola, IN
- Allied Physicians Inc., D/B/a Ear, Nose & Throat Specialists
- Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery
- Brandi Lanice Alwine, PA
- American Oncology Partners, P.a. (Fort Wayne Medical Oncology and Hematology)
- April M Anderson
- Anesthesia Associates of Northern Indiana, PC
- Angola Dental Services, P.C. (Angola Dental Center)
- Angola Family Chiropractic & Integrative Healing Center, LLC
- Angola Family Dentistry, LLC (Gabet Family Dentistry)
- Angola Obstetrics & Gynecology PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.