Provider Demographics
NPI:1295010890
Name:CAUSTIN, ELINOR L (MSW)
Entity Type:Individual
Prefix:
First Name:ELINOR
Middle Name:L
Last Name:CAUSTIN
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 1:230 S. CALIFORNIA AVE.
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1637
Mailing Address - Country:US
Mailing Address - Phone:650-494-1250
Mailing Address - Fax:
Practice Address - Street 1:230 S. CALIFORNIA AVE.
Practice Address - Street 2:SUITE 110
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1637
Practice Address - Country:US
Practice Address - Phone:650-494-1250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS46711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical