Provider Demographics
NPI:1215103247
Name:FILLION-CROUSE, ELAINE MARIE (LICSW)
Entity type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:MARIE
Last Name:FILLION-CROUSE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-2110
Mailing Address - Country:US
Mailing Address - Phone:085-813-2847
Mailing Address - Fax:508-433-1871
Practice Address - Street 1:992 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-3050
Practice Address - Country:US
Practice Address - Phone:508-813-2847
Practice Address - Fax:508-433-1871
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10202031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical