Provider Demographics
NPI:1861655037
Name:ELOED, JUDITH M (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:M
Last Name:ELOED
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:M
Other - Last Name:ELOED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:757 WESTWOOD PLZ # B788
Mailing Address - Street 2:DEPT OF CARE COORDINATION
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-8358
Mailing Address - Country:US
Mailing Address - Phone:310-267-9732
Mailing Address - Fax:
Practice Address - Street 1:757 WESTWOOD PLZ # B788
Practice Address - Street 2:DEPT OF CARE COORDINATION
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-8358
Practice Address - Country:US
Practice Address - Phone:310-267-9732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 198081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical