MEDICARE: ELIZABETH GONZALEZ KEIFFER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	S.2504719-TRNE	OH

General Provider Information

NPI Number	:	1851254619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH GONZALEZ KEIFFER

Provider Business Mailing Address
First Line	:	1450 EISENHOWER AVE
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44904-1408
Country	:	US
Telephone Number	:	419-709-8447
Fax Number	:	419-526-5525

Provider Business Practice Location Address
First Line	:	1066 LEXINGTON AVE
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44907-2250
Country	:	US
Telephone Number	:	419-709-8447
Fax Number	:	419-526-5525

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1780708404 — SIGNATURE HEALTH SERVICES-MANSFIELD, LLC
Practice Location Address:

1092 LEXINGTON AVE
MANSFIELD, OH
44907-2250

Practice Phone: 419-589-5921
Practice Fax: 419-589-5871

1942417407 — JUDITH CULLER L.P.C.
Practice Location Address:

1066 LEXINGTON AVE
MANSFIELD, OH
44907-2250

Practice Phone: 419-526-5523
Practice Fax:

1902170772 — MRS. LINDA VARNETT EMERSON L.C.S.W.
Practice Location Address:

1066 LEXINGTON AVE
MANSFIELD, OH
44907-2250

Practice Phone: 419-526-5523
Practice Fax:

1447697008 — FRESCIA ERICA POTH MSW, LISW
Practice Location Address:

1066 LEXINGTON AVE
MANSFIELD, OH
44907-2250

Practice Phone: 419-526-5523
Practice Fax:

1477020212 — MR. STEPHEN CHRISTOPHER THOMAS LPC
Practice Location Address:

1066 LEXINGTON AVE
MANSFIELD, OH
44907-2250

Practice Phone: 419-526-5523
Practice Fax: 419-526-5525

1366065732 — MRS. OLIVIA GRACE COVERT LPC
Practice Location Address:

1066 LEXINGTON AVENUE
MANSFIELD, OH
44907-2250

Practice Phone: 419-526-5523
Practice Fax: 419-526-5525

Directions to “ ELIZABETH GONZALEZ KEIFFER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.