Individual
ETHEL A ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
123 N MCCREARY ST, FORT BRANCH, IN 47648-1313
(812) 753-1039
(812) 753-1122
Mailing address
108 N MAIN ST, PRINCETON, IN 47670-1540
(812) 753-1039
(812) 753-1122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002277A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000381376
ANTHEM PIN
IN
01
—
371620615
TRICARE PIN
IN
Enumeration date
06/16/2006
Last updated
02/11/2025
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