Provider Demographics
NPI:1184273898
Name:AHRENHOLZ, ELENA KATHARINE (LCSW)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:KATHARINE
Last Name:AHRENHOLZ
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5335 ROBINHOOD VILLAGE DR STE 112
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-9820
Mailing Address - Country:US
Mailing Address - Phone:252-289-4424
Mailing Address - Fax:
Practice Address - Street 1:2714 HENNING DR STE 1
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4502
Practice Address - Country:US
Practice Address - Phone:252-289-4424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0141051041C0700X
NCC0149641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical