Provider Demographics
NPI:1265598825
Name:ELKIN, DONNA LYNN (LCSWR)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:LYNN
Last Name:ELKIN
Suffix:
Gender:F
Credentials:LCSWR
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Mailing Address - Street 1:14 STONEHEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-3126
Mailing Address - Country:US
Mailing Address - Phone:845-255-4343
Mailing Address - Fax:877-224-9708
Practice Address - Street 1:372 FULLERTON AVE
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3744
Practice Address - Country:US
Practice Address - Phone:845-255-4343
Practice Address - Fax:877-224-9708
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYR0344411104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker