MEDICARE: ELENA KATHARINE AHRENHOLZ 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	P014105	NC
2	1041C0700X	Clinical Social Worker	C014964	NC

General Provider Information

NPI Number	:	1184273898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA KATHARINE AHRENHOLZ LCSW

Provider Business Mailing Address
First Line	:	5335 ROBINHOOD VILLAGE DR STE 112
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-9820
Country	:	US
Telephone Number	:	252-289-4424
Fax Number	:

Provider Business Practice Location Address
First Line	:	2714 HENNING DR STE 1
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-4502
Country	:	US
Telephone Number	:	252-289-4424
Fax Number	:

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

Provider Enumeration Date	:	09/05/2019
Last Update Date	:	04/14/2025

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