Active NPIIndividual providerSole proprietor

Elina Polyakov, LCSW

Social Worker, Clinical in Nanuet, New York

NPI Number1205000833
Practice location
150 Airport Executive Park, Suite 152, Nanuet, NY 10954-5261
Fax
—
Last updated
April 15, 2008

Elina Polyakov is a Social Worker, Clinical based in Nanuet, NY. Elina Polyakov practices in Nanuet, NY and has the professional credentials of LCSW. The NPI Number for Elina Polyakov is 1205000833 and holds a License No. 44SL05435900 (NJ). The current practice location address for Elina Polyakov is 150 Airport Executive Park, Suite 152, Nanuet, NY 10954-5261 and can be reached out via phone at 646-312-9473.

Provider Profile Details

NPI Number
1205000833
Provider Name
Elina Polyakov
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
150 Airport Executive Park, Suite 152, Nanuet, NY 10954-5261
Phone Number
646-312-9473
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 15, 2008
Last Update Date
April 15, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Airport Executive Park
Suite 152
Nanuet, NY 10954-5261
City
Nanuet
Zip
10954-5261
Phone Number
646-312-9473
Nanuet, NY 10954Get directions →

Provider Business Mailing Address Details

Address
40-09 Monroe St
Fair Lawn, NJ 07410-4950
City
Fair Lawn
State
NJ
Zip
07410-4950
Phone Number
646-312-9473

License Information

License Number (1)
44SL05435900
License State (1)
NJ
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
070111-1
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elina Polyakov, LCSW?

The NPI number of Elina Polyakov, LCSW is 1205000833. It was assigned on April 15, 2008 and is currently active in the NPPES registry.

What is the specialty of Elina Polyakov, LCSW?

Elina Polyakov, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL05435900.

Where does Elina Polyakov, LCSW practice?

The practice location is 150 Airport Executive Park, Suite 152, Nanuet, NY 10954-5261. The office can be reached at 646-312-9473 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205000833 directly on the NPPES registry website.

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