Provider Demographics
NPI:1700546843
Name:ELLIOTT, CARLA JANE (PHD (LCSW))
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:JANE
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:PHD (LCSW)
Other - Prefix:DR
Other - First Name:CARLA
Other - Middle Name:JANE
Other - Last Name:ELLIOTT-NEELY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD (LCSW)
Mailing Address - Street 1:3803 52ND ST., N.W
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016
Mailing Address - Country:US
Mailing Address - Phone:202-255-6800
Mailing Address - Fax:
Practice Address - Street 1:3803 52ND ST., N.W.
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016
Practice Address - Country:US
Practice Address - Phone:202-255-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3024921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical