Wellformed AI

NPI 1790701464 · live from the CMS NPI Registry

Elizabeth Jane Aldred, AM. LCSW

Social Worker, Clinical in Elkhorn, WI. National Provider Identifier 1790701464, active.

NPI record

NPI1790701464 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice locationW4051 County Road Nn, Elkhorn, WI 53121
Practice phone262-741-3279
Mailing addressW4051 County Road Nn, P.O. Box 1005, Elkhorn, WI 53121
EnumeratedJuly 14, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X6929-123 (WI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.