MEDICARE: MRS. ELIZABETH STERLING ELDER LCSW

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	68529	TX
2	1041C0700X	Clinical Social Worker	68529	TX

General Provider Information

NPI Number	:	1760033617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH STERLING ELDER LCSW

Provider Business Mailing Address
First Line	:	7201 BROADWAY STE 218
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-3773
Country	:	US
Telephone Number	:	210-561-2861
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 BROADWAY STE 218
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-3773
Country	:	US
Telephone Number	:	210-561-2861
Fax Number	:

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

Provider Enumeration Date	:	09/23/2019
Last Update Date	:	02/18/2026

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