Provider Demographics
NPI:1316334709
Name:ELDER, KATHERINE KRAGIEL (LCSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:KRAGIEL
Last Name:ELDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 63
Mailing Address - Street 2:
Mailing Address - City:BANNER ELK
Mailing Address - State:NC
Mailing Address - Zip Code:28604-0063
Mailing Address - Country:US
Mailing Address - Phone:828-260-3400
Mailing Address - Fax:
Practice Address - Street 1:2850 TYNECASTLE HWY
Practice Address - Street 2:
Practice Address - City:BANNER ELK
Practice Address - State:NC
Practice Address - Zip Code:28604-9716
Practice Address - Country:US
Practice Address - Phone:828-537-8457
Practice Address - Fax:828-220-3330
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0097371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical