Wade, Elizabeth

Wade, Elizabeth is an individual health care provider with primary practice located at 2900 Tyler Rd , Christiansburg VA 24073-6374. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wade, Elizabeth can be contacted via phone (540) 731-7311.

Contact Information

Primary practice address
2900 Tyler Rd Christiansburg VA 24073-6374
Phone: (540) 731-7311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904-000753 Virginia

Profile Details

NPI number 1619946985
LBN Legal business name Wade, Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 13th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619946985 NPPES
Virginia MEDICAID 010195497
Virginia MEDICAID 8931208

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