Stein, Elzie M
Stein, Elzie M is an sole proprietor health care provider with primary practice located at 2355 State St Ste 101 , Salem OR 97301-4541. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stein, Elzie M can be contacted via phone (503) 809-5060.Contact Information
Primary practice address
2355 State St Ste 101
Salem OR 97301-4541
Phone: (503) 809-5060
Fax: (503) 809-5060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | T-17-293 | Oregon |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | A4486 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW 23233 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8469 | Oregon |
Profile Details
| NPI number | 1396910907 |
|---|---|
| LBN Legal business name | Stein, Elzie M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2008 |
| Last updated | May 18th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396910907 | NPPES |
| Oregon | MEDICAID | 500691460 | |
| Oregon | MEDICAID | 500760360 |
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