Individual
ERIC T ELVANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
18766 JOHN J WILLIAMS HWY # 383, REHOBOTH BEACH, DE 19971-4417
(215) 439-2795
Mailing address
18766 JOHN J WILLIAMS HWY # 383, REHOBOTH BEACH, DE 19971-4417
(215) 439-2795
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CW019027
PA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035839390004
—
PA
Enumeration date
12/26/2007
Last updated
11/05/2022
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