Provider Demographics
NPI:1487015160
Name:VICTORIA ELKINS, LCSW P.A.
Entity Type:Organization
Organization Name:VICTORIA ELKINS, LCSW P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:908-581-4542
Mailing Address - Street 1:6582 MARBELLA DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-5041
Mailing Address - Country:US
Mailing Address - Phone:239-919-4989
Mailing Address - Fax:
Practice Address - Street 1:670 GOODLETTE RD N
Practice Address - Street 2:STE 208
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5614
Practice Address - Country:US
Practice Address - Phone:908-581-4542
Practice Address - Fax:772-777-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IB445AOtherPTAN