Provider Demographics
NPI:1295150761
Name:ELIZABETH MEYERS, LMSW
Entity type:Organization
Organization Name:ELIZABETH MEYERS, LMSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-862-6554
Mailing Address - Street 1:2535 E MOUNT HOPE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-1913
Mailing Address - Country:US
Mailing Address - Phone:517-862-6554
Mailing Address - Fax:517-372-2542
Practice Address - Street 1:2535 E MOUNT HOPE AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1913
Practice Address - Country:US
Practice Address - Phone:517-862-6554
Practice Address - Fax:517-372-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801016764251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIM15087OtherMEDICARE PTAN
MI121751OtherVALUE OPTIONS
MI200000024992OtherPHYSICIANS HEALTH PLAN OF MID MICHIGAN
MI0899596OtherBLUE CROSS/BLUE SHIELD