Provider Demographics
NPI:1972030278
Name:OAKS, ELIZABETH ANN (LISW-S MSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:OAKS
Suffix:
Gender:F
Credentials:LISW-S MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:425 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-2405
Mailing Address - Country:US
Mailing Address - Phone:330-979-3274
Mailing Address - Fax:330-539-1777
Practice Address - Street 1:8600 E MARKET ST STE 8
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2375
Practice Address - Country:US
Practice Address - Phone:330-979-3274
Practice Address - Fax:330-539-1777
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI14401461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical