National Provider Identifier

Elizabeth Diane Strayhorn, LCSW

Elizabeth Diane Strayhorn, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (412) 973-0862.

NPI 1477887230Ithaca, NYClinical Social Worker

Profile Overview

NPI
1477887230
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 28, 2009
Last Updated
June 16, 2011

Practice Location

  • 202 E. State St.
  • Suite 411
  • Ithaca, NY 14850-5578

Phone: (412) 973-0862

Mailing Address

  • 205 Willard Way
  • Ithaca, NY 14850-3833

Specialties

  • Clinical Social Worker (1041C0700X)
  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1477887230
Entity Type
Individual
Last Name
Strayhorn
First Name
Elizabeth
Middle Name
Diane
Name Prefix
Mrs.
Credential
LCSW
Mailing Street Address
205 Willard Way
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3833
Mailing Country
US
Mailing Phone
(412) 973-0862
Mailing Fax
(724) 935-6044
Practice Street Address
202 E. State St.
Practice Address Line 2
Suite 411
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5578
Practice Country
US
Practice Phone
(412) 973-0862
Practice Fax
(724) 935-6044
Enumeration Date
September 28, 2009
Last Updated
June 16, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)