NPI 1528116548 · live from the CMS NPI Registry
Ellen Renee Altman, LISW
Social Worker, Clinical in Leesburg, FL. National Provider Identifier 1528116548, active.
NPI record
| NPI | 1528116548 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 104 E Dixie Ave, Leesburg, FL 34748 |
| Practice phone | 352-451-1521 |
| Enumerated | January 8, 2007 |
| Last updated | March 2, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | C-06207 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.