Healthcare Provider Details

I. General information

NPI: 1013956937
Provider Name (Legal Business Name): ELAINE MARIE LITTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 STRATFORD CT
DEL MAR CA
92014-2327
US

IV. Provider business mailing address

1323 STRATFORD CT
DEL MAR CA
92014-2327
US

V. Phone/Fax

Practice location:
  • Phone: 858-755-1525
  • Fax: 858-755-2304
Mailing address:
  • Phone: 858-755-1525
  • Fax: 858-755-2304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS14018
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: