MEDICARE: KEITH C ELLIOTT 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	1041C0700X	Clinical Social Worker	0904003320	VA

General Provider Information

NPI Number	:	1164508818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEITH C ELLIOTT LCSW

Provider Business Mailing Address
First Line	:	3963 FAUQUIER AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-4068
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3963 FAUQUIER AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-4068
Country	:	US
Telephone Number	:	804-261-1768
Fax Number	:

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1821195801 — CARL D. OUTEN, MD, PC
Practice Location Address:

605 N COURTHOUSE RD , STE 101
RICHMOND, VA
23236-4068

Practice Phone: 804-794-1334
Practice Fax: 804-794-3927

1114024189 — CARL D OUTEN M.D.
Practice Location Address:

605 N COURTHOUSE RD , STE 101
RICHMOND, VA
23236-4068

Practice Phone: 804-794-1334
Practice Fax: 804-794-3927

1992132310 — BETTY TASIE NP
Practice Location Address:

5246 CHAMBERLAYNE RD
RICHMOND, VA
23227-2950

Practice Phone: 804-913-7029
Practice Fax:

1457219412 — CASSIDY LAND WILSON OTR/L
Practice Location Address:

3600 SAUNDERS AVE
RICHMOND, VA
23227-4328

Practice Phone: 804-278-8977
Practice Fax:

1881991479 — DR. DAVID ARTHUR WHITE SR. DDS
Practice Location Address:

1130 WILKINSON RD
RICHMOND, VA
23227-1623

Practice Phone: 804-266-6050
Practice Fax:

1710983911 — MRS. VALERIE WILLIAMS GARRETT RPH
Practice Location Address:

1717 BELLEVUE AVE
RICHMOND, VA
23227-3961

Practice Phone: 804-264-1319
Practice Fax: 804-264-2133

Directions to “ KEITH C ELLIOTT LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.