Mrs Elizabeth Anne Staley, LCSW, LICSW, LPC is a
Social Worker - Clinical based in Williamstown, Massachusetts. Mrs Elizabeth Anne Staley is licensed to practice in Massachusetts (license number 114108) and her current practice location is
515 Main St Apt A, Williamstown, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(413) 458-4823.
NPI number for Mrs Elizabeth Anne Staley is 1285868430 and her current mailing address is 515 Main St Apt A, Williamstown, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285868430.
Healthcare Provider's Profile
| Full Name | Mrs Elizabeth Anne Staley |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 515 Main St Apt A, Williamstown, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285868430
- Provider Enumeration Date: 05/02/2009
- Last Update Date: 05/02/2009
Medical Identifiers
Medical identifiers for Mrs Elizabeth Anne Staley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285868430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 4490 (Texas) | Secondary |
| 104100000X | Social Worker | 05169 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 114108 (Massachusetts) | Primary |
| 1041C0700X | Social Worker - Clinical | 05169 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Elizabeth Anne Staley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Elizabeth Anne Staley, LCSW, LICSW, LPC
515 Main St Apt A,
Williamstown, MA 01267-2647
Ph: (413) 458-4823 | Mrs Elizabeth Anne Staley, LCSW, LICSW, LPC
515 Main St Apt A,
Williamstown, MA 01267-2647
Ph: (413) 458-4823 |
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