Provider Demographics
NPI:1619637477
Name:LAFLEUR-ELROD, JENNA DARLENE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:DARLENE
Last Name:LAFLEUR-ELROD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:DARLENE
Other - Last Name:WEATHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:920 WOODSONG LN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2924
Mailing Address - Country:US
Mailing Address - Phone:925-567-4663
Mailing Address - Fax:
Practice Address - Street 1:629 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-4567
Practice Address - Country:US
Practice Address - Phone:925-567-4663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical