Eliza Pelton, LCSW-C
Social Worker, Clinical in Baltimore, MD. Individual provider (NPI-1).
NPI number1689412397
StatusActive
Last updated in NPPESJul 17, 2024
Details
- NPI
- 1689412397
- Entity type
- Individual (NPI-1)
- Name
- Eliza Pelton
- Credential
- LCSW-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2024
- Certification date
- Jul 17, 2024
- Last updated
- Jul 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 26313 | MD | Yes |
Practice location
600 Wyndhurst AveBaltimore, MD 21210-2489
Phone 443-761-3899
Mailing address
600 Wyndhurst Ave Ste 200Baltimore, MD 21210-2438
Phone 443-761-3899
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