| Organization Name: | NOELLE ELIA, LCSW PC |
| NPI Number: | 1295007623 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NOELLE MARY ELIA (LICENSED CLINICAL SOCIAL WORKER) |
| Mailing Address: | 4 Chatsworth Avenue Larchmont |
| State: | NY US |
| Postal Code: | 10538 |
| Phone Number: | 9148342657 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2012 |
| NPI Last Update Date: | 01/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R046166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |