Theresa A Elvidge, LICSW
Social Worker, Clinical in Beverly, Massachusetts
1700265568- Practice location
- 100 Cummings Ctr Ste 238G, Beverly, MA 01915-6511
- Phone
- 978-302-3585
- Fax
- —
- Last updated
- April 19, 2021
Theresa Ann Elvidge is a Social Worker, Clinical based in Beverly, MA. Theresa Ann Elvidge practices in Beverly, MA and has the professional credentials of LICSW. The NPI Number for Theresa Ann Elvidge is 1700265568 and holds a License No. 1020282 (MA). The current practice location address for Theresa Ann Elvidge is 100 Cummings Ctr Ste 238G, Beverly, MA 01915-6511 and can be reached out via phone at 978-302-3585.
Provider Profile Details
- NPI Number
- 1700265568
- Provider Name
- Theresa Ann Elvidge
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Cummings Ctr Ste 238G, Beverly, MA 01915-6511
- Phone Number
- 978-302-3585
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 27, 2015
- Last Update Date
- April 19, 2021
- Certification Date
- April 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Cummings Ctr Ste 238G
Beverly, MA 01915-6511 - City
- Beverly
- State
- Massachusetts
- Zip
- 01915-6511
- Phone Number
- 978-302-3585
Provider Business Mailing Address Details
- Address
- 100 Cummings Ctr Ste 238G
Beverly, MA 01915-6511 - City
- Beverly
- State
- MA
- Zip
- 01915-6511
- Phone Number
- 978-302-5861
License Information
- License Number
- 1020282
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Theresa A Elvidge, LICSW?
The NPI number of Theresa A Elvidge, LICSW is 1700265568. It was assigned on May 27, 2015 and is currently active in the NPPES registry.
What is the specialty of Theresa A Elvidge, LICSW?
Theresa A Elvidge, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1020282.
Where does Theresa A Elvidge, LICSW practice?
The practice location is 100 Cummings Ctr Ste 238G, Beverly, MA 01915-6511. The office can be reached at 978-302-3585 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700265568 directly on the NPPES registry website.