Healthcare Provider Details

I. General information

NPI: 1063756898
Provider Name (Legal Business Name): ELIZABETH LOVING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH TURNER

II. Dates (important events)

Enumeration Date: 11/16/2012
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 NE 129TH ST STE 101
VANCOUVER WA
98686-3270
US

IV. Provider business mailing address

2103 NE 129TH ST STE 101
VANCOUVER WA
98686-3270
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax: 999-999-9999
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.70089226
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: