Provider Demographics
NPI:1598957573
Name:CALVANO-CARPENTER, ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:CALVANO-CARPENTER
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 1:664 DARCY PL
Mailing Address - Street 2:
Mailing Address - City:FORT EUSTIS
Mailing Address - State:VA
Mailing Address - Zip Code:23604-1635
Mailing Address - Country:US
Mailing Address - Phone:757-878-1656
Mailing Address - Fax:757-878-1670
Practice Address - Street 1:664 DARCY PL
Practice Address - Street 2:
Practice Address - City:FORT EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604-1635
Practice Address - Country:US
Practice Address - Phone:757-878-1656
Practice Address - Fax:757-878-1670
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040049771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical