Provider Demographics
NPI:1861745713
Name:FILIPPOVA, ELINA (MSW)
Entity type:Individual
Prefix:
First Name:ELINA
Middle Name:
Last Name:FILIPPOVA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6234 PLYMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-1628
Mailing Address - Country:US
Mailing Address - Phone:415-609-0268
Mailing Address - Fax:
Practice Address - Street 1:9667 HIGHWAY 29
Practice Address - Street 2:STE 102
Practice Address - City:LOWER LAKE
Practice Address - State:CA
Practice Address - Zip Code:95457-9400
Practice Address - Country:US
Practice Address - Phone:510-241-8718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2020-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health