Individual
CAITLYN THELLA SMITH ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Contact information
Practice address
594 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-1436
(740) 618-2322
(740) 618-2324
Mailing address
594 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-1436
(740) 618-2322
(740) 618-2324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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