SearchMinnesota1041C0700X

Lyle Elenkiwich, MSW, LICSW

NPI 1649461245 · on the registry since 2007 · sole proprietor

Practice

Address
2311 146th Ave Ne
Ham Lake, MN 55304
Phone
(763) 242-9240
Organisation at this address
Emotional Health Care
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota