Lyle Gene Elenkiwich in Ham Lake - Clinical
Lyle Gene Elenkiwich - NPI 1649461245
Lyle Gene Elenkiwich is a Clinical in Ham Lake, Minnesota. Lyle Gene Elenkiwich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lyle Gene Elenkiwich is 1649461245. The last update date is 2007-08-08.
Lyle Gene Elenkiwich's current location address is 2311 146th Ave Ne, Ham Lake, Minnesota. You can contact this provider via phone number 7632429240. The mailing address for Lyle Gene Elenkiwich is 2311 146th Ave Ne, Ham Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyle Gene Elenkiwich |
|---|---|
| Address | 2311 146th Ave Ne, Ham Lake, Minnesota |
| Phone Number | 7632429240 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1649461245 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2007-08-08 |
Provider Mailing Address Detail
| Address | 2311 146th Ave Ne |
|---|---|
| City | Ham Lake |
| State | Minnesota (MN) |
| Post Code | 553046408 |
| Phone Number | 7632429240 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 11797 |
|
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, certif |
|
Post Comment/ Review Below
What is the unique identifier code issued to Lyle Gene Elenkiwich by the Centers for Medicare & Medicaid Services (CMS)?
The Lyle Gene Elenkiwich has been assigned the NPI (National Provider Identifier) 1649461245. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Lyle Gene Elenkiwich's physical address?
The Lyle Gene Elenkiwich is physically located at 2311 146Th Ave Ne, in the city of Ham Lake, MN, with the postal code 553046408.
What is Lyle Gene Elenkiwich's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lyle Gene Elenkiwich is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649461245 to Lyle Gene Elenkiwich?
The Centers for Medicare & Medicaid Services originally issued the 1649461245 to Lyle Gene Elenkiwich on 2007-08-08.
As of what date was the information regarding Lyle Gene Elenkiwich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lyle Gene Elenkiwich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-08.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO