Doctor Name: | MS. ELLEN NELSON |
NPI Number: | 1508995523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | LCSWPR015680 |
Business Practice Address: | 315 E 80th St Apt 6f Nyc, NY - 100210674 |
Business Phone Number: | 2125351589 |
Business Fax Number: | 2125351734 |
Mailing Address: | 315 E 80th St, Apt 6f NYC |
State: | NY |
Postal Code: | 100210674 |
Phone Number: | 2125351589 |
Fax Number: | 2125351734 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSWPR015680 |
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 |