Leslie Ann Ellenbogen in San Antonio - Clinical

Leslie Ann Ellenbogen - NPI 1841339033

Leslie Ann Ellenbogen is a Clinical in San Antonio, Texas. Leslie Ann Ellenbogen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie Ann Ellenbogen is 1841339033. The last update date is 2007-07-09.

Leslie Ann Ellenbogen's current location address is 8623 Starcrest Dr Apt W3, San Antonio, Texas. You can contact this provider via phone number 2106534135 and fax number 2105907911. The mailing address for Leslie Ann Ellenbogen is 8623 Starcrest Dr Apt W3, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie Ann Ellenbogen
Address 8623 Starcrest Dr Apt W3, San Antonio, Texas
Phone Number 2106534135
Fax Number 2105907911
Sole Proprietor Y
Credentials L.C.S.W.-A

NPI Number Detail

NPI Number 1841339033
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 8623 Starcrest Dr Apt W3
City San Antonio
State Texas (TX)
Post Code 782174706
Phone Number 2106534135
Fax Number 2105907911

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No S12388
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60825 TX VALUE OPTIONS
00S89C TX BLUE CROSS BLUE SHIELD
86501Q TX BC BS ALPHA OMEGA

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FAQs about Leslie Ann Ellenbogen

What is the unique identifier code issued to Leslie Ann Ellenbogen by the Centers for Medicare & Medicaid Services (CMS)?

The Leslie Ann Ellenbogen has been assigned the NPI (National Provider Identifier) 1841339033. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Leslie Ann Ellenbogen is geographically located?

The Leslie Ann Ellenbogen is physically situated at the following location: 8623 Starcrest Dr Apt W3, San Antonio, TX, 782174706.

What is Leslie Ann Ellenbogen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Leslie Ann Ellenbogen's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

When did the Leslie Ann Ellenbogen receive its 1841339033?

The Leslie Ann Ellenbogen was issued its 1841339033 on 2007-02-05, which is the date when the organization was assigned this unique identifier.

When was the information regarding Leslie Ann Ellenbogen most recently updated?

The details pertaining to the Leslie Ann Ellenbogen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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