Weiss, Elaina Catherine

Weiss, Elaina Catherine is an sole proprietor health care provider with primary practice located at 1303 East Grand Avenue #215, Arroyo Grande CA 93420. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Weiss, Elaina Catherine can be contacted via phone (805) 441-2768.

Contact Information

Primary practice address
1303 East Grand Avenue #215 Arroyo Grande CA 93420
Phone: (805) 441-2768
Fax: (805) 473-9100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCF20153 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 20153 California

Profile Details

NPI number 1467480962
LBN Legal business name Weiss, Elaina Catherine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Sep 7th, 2012 - about 12 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 1467480962 NPPES
California MEDICAID CSW201530

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