Provider Demographics
NPI:1447948161
Name:STOFFEL, ELAINA CAROLE
Entity type:Individual
Prefix:
First Name:ELAINA
Middle Name:CAROLE
Last Name:STOFFEL
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 1:1118 DEBRA LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-1415
Mailing Address - Country:US
Mailing Address - Phone:715-570-0894
Mailing Address - Fax:
Practice Address - Street 1:5555 ODANA RD STE 202
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1280
Practice Address - Country:US
Practice Address - Phone:608-515-8787
Practice Address - Fax:608-284-7482
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker