Provider Demographics
NPI:1669644621
Name:DANUBIO, ELIZABETH ANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:DANUBIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:ANNE
Other - Last Name:SHILANSKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2061 FAIRVIEW AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3953
Mailing Address - Country:US
Mailing Address - Phone:484-347-7878
Mailing Address - Fax:484-373-4297
Practice Address - Street 1:2061 FAIRVIEW AVE
Practice Address - Street 2:UNIT C
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3953
Practice Address - Country:US
Practice Address - Phone:484-347-7878
Practice Address - Fax:484-373-4297
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2016-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0168711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical