Provider Demographics
NPI:1134892581
Name:ASHKIN-BAKER, ELISE GENEVIEVE (MSW, LCAS-A, LCSWA)
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:GENEVIEVE
Last Name:ASHKIN-BAKER
Suffix:
Gender:F
Credentials:MSW, LCAS-A, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-3219
Mailing Address - Country:US
Mailing Address - Phone:919-308-3199
Mailing Address - Fax:
Practice Address - Street 1:2001 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-3219
Practice Address - Country:US
Practice Address - Phone:919-308-3199
Practice Address - Fax:504-896-2240
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-30968101YA0400X
171M00000X
NCP0224631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator