Active NPIIndividual providerSole proprietor

Elizabeth Prostak, LCSW

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1982147526
Practice location
20 Meadowbrook RD, Brockton, MA 02301-7122
Fax
—
Last updated
December 30, 2024

Elizabeth Prostak is a Social Worker, Clinical based in Brockton, MA. Elizabeth Prostak practices in Brockton, MA and has the professional credentials of LCSW. The NPI Number for Elizabeth Prostak is 1982147526 and holds a License No. 000226675 (MA). The current practice location address for Elizabeth Prostak is 20 Meadowbrook RD, Brockton, MA 02301-7122 and can be reached out via phone at 508-580-0801.

Provider Profile Details

NPI Number
1982147526
Provider Name
Elizabeth Prostak
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
20 Meadowbrook RD, Brockton, MA 02301-7122
Phone Number
508-580-0801
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 30, 2016
Last Update Date
December 30, 2024
Certification Date
December 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Meadowbrook RD
Brockton, MA 02301-7122
Zip
02301-7122
Phone Number
508-580-0801
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
14 Fordham RD
Allston, MA 02134-3000
City
Allston
State
MA
Zip
02134-3000
Phone Number
617-782-6469
Fax Number
781-848-0206

License Information

License Number (1)
000226675
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
126846
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

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 Elizabeth Prostak, LCSW?

The NPI number of Elizabeth Prostak, LCSW is 1982147526. It was assigned on November 30, 2016 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Prostak, LCSW?

Elizabeth Prostak, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 000226675.

Where does Elizabeth Prostak, LCSW practice?

The practice location is 20 Meadowbrook RD, Brockton, MA 02301-7122. The office can be reached at 508-580-0801 (phone).

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 1982147526 directly on the NPPES registry website.

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