MEDICARE: YAEL ELROM LLMSW

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
1	104100000X	Social Worker	6801120205	MI

General Provider Information

NPI Number	:	1215621123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAEL ELROM LLMSW

Provider Business Mailing Address
First Line	:	812 E JOLLY RD
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-6818
Country	:	US
Telephone Number	:	517-346-8275
Fax Number	:

Provider Business Practice Location Address
First Line	:	812 E JOLLY RD
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-6818
Country	:	US
Telephone Number	:	517-346-8275
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	12/08/2025

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