Whalio Doctors

NPI 1275814014

Jose L Elizalde, LCSW

Practitioner Clinical Social Worker Avon, CO

Practice location

Address
50 Buck Creek Rd #200, Avon, CO 81620
Phone
(970) 926-6340

Registered specialties (2)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW.09924773 (CO)
Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 103K00000X

Registry record

NPI
1275814014
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Sep 2011
Record last updated
16 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.