Provider Demographics
NPI:1457507949
Name:FORD, DENISE ELSNER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:ELSNER
Last Name:FORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:MARIAN
Other - Last Name:ELSNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:9223 FOUR ACRE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-7974
Mailing Address - Country:US
Mailing Address - Phone:704-525-5850
Mailing Address - Fax:
Practice Address - Street 1:9223 FOUR ACRE CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-7974
Practice Address - Country:US
Practice Address - Phone:704-525-5850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0004351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
4199276OtherAETNA