MS. ELIZABETH NIEDBALA MSW, LICSW
NPI 1891054847
Social Worker - Clinical in Northborough, MA

Q: What is Elizabeth Niedbala's NPI number?

The NPI number for Elizabeth Niedbala is 1891054847. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Q: What is Elizabeth Niedbala's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Elizabeth Niedbala enrolled in Medicare?

No. Elizabeth Niedbala has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since May 11, 2012Opted out of Medicare · through Apr 1, 2028

300 W MAIN ST, BUILDING B, SUITE 113, NORTHBOROUGH, MA 01532(508) 523-6177 Get Directions Write a Review

NPPES record last updated: May 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Elizabeth Niedbala Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELIZABETH NIEDBALA MSW, LICSW (NPI 1891054847) is an individual clinical provider in Northborough, Massachusetts, licensed in Massachusetts (116868) and active in the NPI registry since May 2012. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1891054847

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. ELIZABETH NIEDBALACredential: MSW, LICSW

Location Address300 W MAIN ST, BUILDING B, SUITE 113Northborough, MA 01532-2132

Mailing Address300 West Main Street, Building B, Suite 113Northboro, MA 01532 · (508) 523-6177

Phone(508) 523-6177

Sole ProprietorYes

Enumeration DateMay 11, 2012

✔ NPI 1891054847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MA · 116868

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

300 W MAIN ST, Northborough, MA 01532

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Elizabeth Niedbala Msw, Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY TANDOH LMHC

Counselor (Mental Health)