Provider Demographics
NPI:1497996300
Name:ELIEFF, TANGIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TANGIA
Middle Name:
Last Name:ELIEFF
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 1:7950 DUBLIN BLVD
Mailing Address - Street 2:STE 204
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2937
Mailing Address - Country:US
Mailing Address - Phone:925-577-4732
Mailing Address - Fax:
Practice Address - Street 1:7950 DUBLIN BLVD
Practice Address - Street 2:STE 204
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2937
Practice Address - Country:US
Practice Address - Phone:925-577-4732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker