| Ethel A Elkins, LCSW | |
| 123 N Mccreary St, Fort Branch, IN 47648-1313 | |
| (812) 753-1039 | |
| (812) 753-1122 | 
| Full Name | Ethel A Elkins | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 123 N Mccreary St, Fort Branch, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013951052 | NPI | - | NPPES | 
| 000000381376 | Other | IN | ANTHEM PIN | 
| 371620615 | Other | IN | TRICARE PIN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34002277A (Indiana) | Primary | 
| Entity Name | Tulip Tree Health Services Of Gibson County Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932225372 PECOS PAC ID: 7416859376 Enrollment ID: O20040122000478 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ethel A Elkins, LCSW 108 N Main St, Princeton, IN 47670-1540 Ph: (812) 753-1039 | Ethel A Elkins, LCSW 123 N Mccreary St, Fort Branch, IN 47648-1313 Ph: (812) 753-1039 | 
| Mrs. Tara Greenlee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 S Hull St, Fort Branch, IN 47648 Phone: 812-403-3552 | |
| Victoria Lynn Moore, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7863 S Andee Ln, Fort Branch, IN 47648 Phone: 812-746-7962 | |
| Nichole Epperson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 202 S Main St, Fort Branch, IN 47648 Phone: 812-677-8503 |