Individual
JASON M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
520 YOUNGSTOWN POLAND RD, STRUTHERS, OH 44471-1103
(330) 318-3078
(234) 855-1072
Mailing address
3040 BELMONT AVE STE C, YOUNGSTOWN, OH 44505-1836
(330) 759-0276
(330) 759-0030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1700367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14571170
CAQH
—
Enumeration date
05/31/2017
Last updated
04/24/2020
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