Provider Demographics
NPI:1922088574
Name:METZ, ELINOR D (LCPC)
Entity Type:Individual
Prefix:
First Name:ELINOR
Middle Name:D
Last Name:METZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15701 CRABBS BRANCH WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2634
Mailing Address - Country:US
Mailing Address - Phone:757-348-2964
Mailing Address - Fax:301-251-0136
Practice Address - Street 1:15701 CRABBS BRANCH WAY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-2634
Practice Address - Country:US
Practice Address - Phone:757-348-2964
Practice Address - Fax:301-251-0136
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC77260032OtherBLUE CROSS BLUE SCHEILD
MD60510801OtherBLUE CROSS BLUE SCHEILD