Provider Demographics
NPI:1073990271
Name:TERMINIELLO, ELENA (MSW)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:TERMINIELLO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4855 S PALMER RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5632
Mailing Address - Country:US
Mailing Address - Phone:301-319-2857
Mailing Address - Fax:
Practice Address - Street 1:4855 S PALMER RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5632
Practice Address - Country:US
Practice Address - Phone:301-319-2857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-27
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD105731041C0700X
DCLC3033891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical