Healthcare Provider Details

I. General information

NPI: 1093403230
Provider Name (Legal Business Name): CHANDA D ELKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3780 N GARFIELD AVE
LOVELAND CO
80538-2233
US

IV. Provider business mailing address

2021 VALLEY FORGE AVE
FORT COLLINS CO
80526-1650
US

V. Phone/Fax

Practice location:
  • Phone: 970-658-9443
  • Fax:
Mailing address:
  • Phone: 970-232-6881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09932955
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: