Individual
KRISTINA K ELSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34007271A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01824391
RR MEDICARE
IN
Enumeration date
07/26/2011
Last updated
01/20/2023
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