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NPI Code Detail

MEDICARE: MRS. ELIZABETH STERLING ELDER LCSW

MEDICARE:  MRS. ELIZABETH STERLING ELDER  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
1104100000XSocial Worker68529TX
21041C0700XClinical Social Worker68529TX

General Provider Information

NPI Number : 1760033617
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH STERLING ELDER LCSW
Provider Business Mailing Address
First Line : 3510 N SAINT MARYS ST STE 205
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78212-3164
Country : US
Telephone Number : 210-561-2861
Fax Number :
Provider Business Practice Location Address
First Line : 3510 N SAINT MARYS ST STE 205
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78212-3164
Country : US
Telephone Number : 210-561-2861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2019
Last Update Date : 11/01/2021

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Directions to “ MRS. ELIZABETH STERLING ELDER LCSW” Practice Location

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