Provider Demographics
NPI:1699113589
Name:LITZ, ELIZABETH A (MSW, LSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:LITZ
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 WEST 25TH STREET
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109
Mailing Address - Country:US
Mailing Address - Phone:216-459-1222
Mailing Address - Fax:216-459-2696
Practice Address - Street 1:3305 WEST 25TH STREET
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109
Practice Address - Country:US
Practice Address - Phone:216-459-1222
Practice Address - Fax:216-459-2696
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2018-06-05
Deactivation Date:2017-11-09
Deactivation Code:
Reactivation Date:2018-06-05
Provider Licenses
StateLicense IDTaxonomies
OHS 1200943104100000X
OHS.1200943104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker