Doctor Name: | ANN LORENE ELLIOT |
NPI Number: | 1194864876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 003525 |
Business Practice Address: | 215 S Morley St Moberly, MO - 652702243 |
Business Phone Number: | 6602699577 |
Business Fax Number: | 6602699578 |
Mailing Address: | 215 S Morley St, MOBERLY |
State: | MO |
Postal Code: | 652702243 |
Phone Number: | 6602699577 |
Fax Number: | 6602699578 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 003525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |