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NPI Code Detail

MEDICARE: DANIELLE ELDRIDGE, LCSW, LLC

MEDICARE: DANIELLE ELDRIDGE, LCSW, LLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1003493925
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIELLE ELDRIDGE, LCSW, LLC
Provider Business Mailing Address
First Line : 508 YELLOWSTONE AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-1731
Country : US
Telephone Number : 406-697-8669
Fax Number :
Provider Business Practice Location Address
First Line : 902 WYOMING AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-1637
Country : US
Telephone Number : 406-697-8669
Fax Number :
Authorized Official
Title or Position : LCSW
Name : DANIELLE ELDRIDGE
Credential :
Telephone Number : 406-697-8669
Provider Enumeration Date : 03/26/2021
Last Update Date : 03/26/2021

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