Provider Demographics
NPI:1164839205
Name:CASELLA, ELENA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:
Last Name:CASELLA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5822 EFFINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4213
Mailing Address - Country:US
Mailing Address - Phone:832-788-0216
Mailing Address - Fax:
Practice Address - Street 1:5822 EFFINGHAM DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4213
Practice Address - Country:US
Practice Address - Phone:832-788-0216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56918104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker