Individual
ELIZABETH J KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3200 MACCORKLE AVE SE, FL 5, CHARLESTON, WV 25304-1297
(304) 388-1000
(304) 388-1021
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 647-6006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00454379
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712478
MS BCBS
WV
05
—
3810006566
—
WV
01
—
4268833
AETNA
WV
Enumeration date
09/20/2006
Last updated
08/11/2023
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