Provider Demographics
NPI:1467034405
Name:ALGER, ELISABETH EDEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:EDEN
Last Name:ALGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELISABETH
Other - Middle Name:EDEN
Other - Last Name:GOCHENOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:570 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:VA
Mailing Address - Zip Code:22851-3608
Mailing Address - Country:US
Mailing Address - Phone:540-742-1006
Mailing Address - Fax:
Practice Address - Street 1:124 VALLEY VISTA DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664-1608
Practice Address - Country:US
Practice Address - Phone:540-459-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040126451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical