| Doctor Name: | HEIDI S.M. ELWOOD |
| NPI Number: | 1104132679 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 958 |
| Business Practice Address: | 405 Brooklyn St Superior, MT - 598729607 |
| Business Phone Number: | 4065329150 |
| Business Fax Number: | 4068223077 |
| Mailing Address: | T-9 Fort Missoula, MISSOULA |
| State: | MT |
| Postal Code: | 598047202 |
| Phone Number: | 4065328400 |
| Fax Number: | 4065439316 |
| NPI Enumeration Date: | 08/23/2010 |
| NPI Last Update Date: | 08/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |