Individual
ELLIOT P CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2010 EASTWOOD DR STE 102, MADISON, WI 53704-5387
(608) 291-3676
Mailing address
502 APOLLO WAY APT 403, MADISON, WI 53718-2999
(608) 692-5785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12607123
WI
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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