Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYLE GENE ELENKIWICH, MSW, LICSW
Active Sole ProprietorLYLE GENE ELENKIWICH, MSW, LICSW is a Clinical Social Worker healthcare provider located in HAM LAKE, Minnesota. NPI 1649461245 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · HAM LAKE, MN
Registration Details
- NPI Number
- 1649461245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2007 (19.000191205097 yrs)
- Last Updated
- Aug 8, 2007
- License
-
11797 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2311 146TH AVE NEHAM LAKE, MN, 553046408Browse MN providers · Browse ZIP 55304
- Phone
- 7632429240
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in HAM LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| SUZANNE CLAIRE TUTTLE | LICSW | 1457088635 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.