Elizabeth Anne Pace, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

087411-1 Issued in NY

Practice address

1660 Route 112 Ste B
Port Jefferson Station, NY 11776-8057

Phone

(631) 253-8512

Fax

(631) 201-2747

NPI assigned

Mar 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gayle E Kilgman Therapuetic Resources

  • Specialist
  • Garden City, NY
  • NPI 1073875795
  NPD (past)
• Ilene a. Brickley, PLLC

  • Social Worker
  • Miller Place, NY
  • NPI 1902444060
  NPD (past)
• Kidz Therapy Services, LLC

  • Community/Behavioral Health Agency
  • Garden City, NY
  • NPI 1841649928
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1972996163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA AVE",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771501",
            "telephone_number": "631-796-5790",
            "fax_number": "631-201-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 ROUTE 112 STE B",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768057",
            "telephone_number": "631-253-8512",
            "fax_number": "631-201-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2022-11-30",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087411-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06222471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optyx LLC (Grueneyes)
• Irene Ordonez, COTA/L
• Peter Ottavio, D.O.
• P & B Portable Xray Services Inc
• Julie Ann Pablo, NP
• Joseph Pagan
• Candice Palma
• Carol A. Palmer I, L.AC., MS
• Marissa Palmieri
• Alexis Mariah Panariello, OTR/L

• Clinical Social Worker in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.