Lyle Gene Elenkiwich, MSW, LICSW is a
Social Worker - Clinical based in Ham Lake, Minnesota. Lyle Gene Elenkiwich is licensed to practice in Minnesota (license number 11797) and his current practice location is
2311 146th Ave Ne, Ham Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(763) 242-9240.
NPI number for Lyle Gene Elenkiwich is 1649461245 and his current mailing address is 2311 146th Ave Ne, Ham Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649461245.
Healthcare Provider's Profile
Full Name | Lyle Gene Elenkiwich |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 2311 146th Ave Ne, Ham Lake, Minnesota |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649461245
- Provider Enumeration Date: 08/08/2007
- Last Update Date: 08/08/2007
Medical Identifiers
Medical identifiers for Lyle Gene Elenkiwich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649461245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 11797 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lyle Gene Elenkiwich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lyle Gene Elenkiwich, MSW, LICSW 2311 146th Ave Ne, Ham Lake, MN 55304-6408 Ph: (763) 242-9240 | Lyle Gene Elenkiwich, MSW, LICSW 2311 146th Ave Ne, Ham Lake, MN 55304-6408 Ph: (763) 242-9240 |
Reviews and Comments