Provider Demographics
NPI:1053060806
Name:HIGGINS, ELMER ANN (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELMER
Middle Name:ANN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6028 FOREST HILL BLVD APT 204
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6235
Mailing Address - Country:US
Mailing Address - Phone:561-758-6398
Mailing Address - Fax:
Practice Address - Street 1:6028 FOREST HILL BLVD APT 204
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-6235
Practice Address - Country:US
Practice Address - Phone:561-758-6398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
FLSW196691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker