Provider Demographics
NPI:1750335162
Name:ELERDING, CHARLOTTE NELL (LCSW)
Entity type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:NELL
Last Name:ELERDING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4274 NAVAJO AVE
Mailing Address - Street 2:
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2914
Mailing Address - Country:US
Mailing Address - Phone:818-753-8811
Mailing Address - Fax:
Practice Address - Street 1:10850 RIVERSIDE DR
Practice Address - Street 2:SUITE 501
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91602-3937
Practice Address - Country:US
Practice Address - Phone:818-623-0256
Practice Address - Fax:818-623-0256
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS163281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical