Provider Demographics
NPI:1750590113
Name:KATZ, ELANA (MSW, LCSW, LMFT)
Entity type:Individual
Prefix:MS
First Name:ELANA
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:MSW, LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 W. 86TH ST
Mailing Address - Street 2:APT. 8C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3154
Mailing Address - Country:US
Mailing Address - Phone:212-362-6756
Mailing Address - Fax:212-362-8005
Practice Address - Street 1:149 E 78TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0405
Practice Address - Country:US
Practice Address - Phone:212-879-4900
Practice Address - Fax:212-744-0206
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0202581041C0700X
NJ44SC003550001041C0700X
NY000167106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist