Provider Demographics
NPI:1467196659
Name:ELDEN, ARWYN E (LCSW)
Entity Type:Individual
Prefix:
First Name:ARWYN
Middle Name:E
Last Name:ELDEN
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 1:24862 US HIGHWAY 19 N APT 3401
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-3909
Mailing Address - Country:US
Mailing Address - Phone:727-396-2276
Mailing Address - Fax:
Practice Address - Street 1:24862 US HIGHWAY 19 N APT 3401
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-3909
Practice Address - Country:US
Practice Address - Phone:727-396-2276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-24
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW122451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical