Provider Demographics
NPI:1235476003
Name:ROTHSCHILD, ELANA MAMBERG (LMSW)
Entity Type:Individual
Prefix:
First Name:ELANA
Middle Name:MAMBERG
Last Name:ROTHSCHILD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 PUTNAM RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2010
Mailing Address - Country:US
Mailing Address - Phone:914-525-5505
Mailing Address - Fax:
Practice Address - Street 1:4 PUTNAM RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2010
Practice Address - Country:US
Practice Address - Phone:914-525-5505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-13
Last Update Date:2013-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061993-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker