Provider Demographics
NPI:1982857801
Name:ELDRIDGE, DANIELLE MARIE (MSW)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MARIE
Last Name:ELDRIDGE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:MARIE
Other - Last Name:LYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1935 BELVEDERE DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-2718
Mailing Address - Country:US
Mailing Address - Phone:406-254-0652
Mailing Address - Fax:
Practice Address - Street 1:1050 S 25TH ST W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7417
Practice Address - Country:US
Practice Address - Phone:406-656-0928
Practice Address - Fax:406-656-0935
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker