Provider Demographics
NPI:1467645325
Name:PRENOVEAU, ELIZABETH ANLIKER (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANLIKER
Last Name:PRENOVEAU
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:LOUISE
Other - Last Name:ANLIKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 WYNDHURST AVE STE 308C
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2489
Mailing Address - Country:US
Mailing Address - Phone:410-900-9612
Mailing Address - Fax:410-323-6669
Practice Address - Street 1:600 WYNDHURST AVE STE 308C
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2489
Practice Address - Country:US
Practice Address - Phone:410-900-9612
Practice Address - Fax:410-323-6999
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker