Active NPIIndividual provider

Elizaveta Mitrofanova

Social Worker, Clinical in Greenfield, Massachusetts

NPI Number1114792629
Practice location
1 Arch Pl, Greenfield, MA 01301-2457
Fax
413-774-1776
Last updated
July 9, 2026

Elizaveta Mitrofanova is a Social Worker, Clinical based in Greenfield, MA. Elizaveta Mitrofanova practices in Greenfield, MA. The NPI Number for Elizaveta Mitrofanova is 1114792629 and holds a License No. LICSW1143398 (MA). The current practice location address for Elizaveta Mitrofanova is 1 Arch Pl, Greenfield, MA 01301-2457 and can be reached out via phone at 413-774-1000 and via fax at 413-774-1776.

Provider Profile Details

NPI Number
1114792629
Provider Name
Elizaveta Mitrofanova
Provider Entity Type
Individual
Gender
Female
Address
1 Arch Pl, Greenfield, MA 01301-2457
Phone Number
413-774-1000
Fax Number
413-774-1776
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 15, 2023
Last Update Date
July 9, 2026
Certification Date
July 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Arch Pl
Greenfield, MA 01301-2457
Zip
01301-2457
Phone Number
413-774-1000
Fax Number
413-774-1776
Greenfield, MA 01301Get directions →

Provider Business Mailing Address Details

Address
1 Arch Pl
Greenfield, MA 01301-2457
City
Greenfield
State
MA
Zip
01301-2457
Phone Number
413-774-1000
Fax Number
413-774-1776

License Information

License Number (1)
LICSW1143398
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
089.0137072
License State (2)
VT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizaveta Mitrofanova?

The NPI number of Elizaveta Mitrofanova is 1114792629. It was assigned on November 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Elizaveta Mitrofanova?

Elizaveta Mitrofanova is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW1143398.

Where does Elizaveta Mitrofanova practice?

The practice location is 1 Arch Pl, Greenfield, MA 01301-2457. The office can be reached at 413-774-1000 (phone) or 413-774-1776 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114792629 directly on the NPPES registry website.

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