Provider Demographics
NPI:1346961786
Name:GOOD, ELAINA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELAINA
Middle Name:
Last Name:GOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:972 ANTRIM DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2941
Mailing Address - Country:US
Mailing Address - Phone:860-910-8633
Mailing Address - Fax:
Practice Address - Street 1:972 ANTRIM DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2941
Practice Address - Country:US
Practice Address - Phone:860-910-8633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.22037381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical