Provider Demographics
NPI:1891445748
Name:ELAINE FILLION-CROUSE
Entity Type:Organization
Organization Name:ELAINE FILLION-CROUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILLION-CROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-813-2847
Mailing Address - Street 1:388 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-2110
Mailing Address - Country:US
Mailing Address - Phone:508-813-2847
Mailing Address - Fax:508-433-1871
Practice Address - Street 1:992 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-3050
Practice Address - Country:US
Practice Address - Phone:508-813-2847
Practice Address - Fax:508-433-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty