Provider Demographics
NPI:1982381703
Name:HOLLINGSWORTH, ELAINE GILLESPIE
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:GILLESPIE
Last Name:HOLLINGSWORTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3728 LOCKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-8048
Mailing Address - Country:US
Mailing Address - Phone:813-431-1717
Mailing Address - Fax:
Practice Address - Street 1:3728 LOCKRIDGE DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-8048
Practice Address - Country:US
Practice Address - Phone:813-431-1717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker