Individual
ELAINE M COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
523 MADISON STREET, BOYDTON, VA 23917
(434) 738-0154
(434) 738-9545
Mailing address
424 HAMILTON BLVD, SOUTH BOSTON, VA 24592-5200
(434) 572-6916
(434) 572-4881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001968
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700890761 - GR. NPI
—
VA
01
—
267379
ANTHEM, HLTHKPRS (HAL)
VA
01
—
267381
ANTHEM, HLTHKPRS (BRUN)
VA
01
—
267382
ANTHEM, HLTHKPRS (MECK)
VA
01
—
518755
VALUE OPTIONS
VA
01
—
O89897
SENTARA
VA
Enumeration date
04/07/2006
Last updated
04/14/2009
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