Individual
DAVID ELISCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004902
CT
1041C0700X
Clinical Social Worker
Primary
004902
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00424565200
BC FAMILY PLAN
CO
01
—
140004902CT01
ANTHEM BC/BS
CT
01
—
140004902CT04
BC/BS
CT
Enumeration date
04/27/2006
Last updated
03/26/2013
Update your record
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