Provider Demographics
NPI:1447911094
Name:KANTER, ELISABETH BETH
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:BETH
Last Name:KANTER
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 1:914 FRENCH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-4146
Mailing Address - Country:US
Mailing Address - Phone:202-573-2143
Mailing Address - Fax:
Practice Address - Street 1:1634 I ST NW STE 550
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4069
Practice Address - Country:US
Practice Address - Phone:202-573-2143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500788561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical