Provider Demographics
NPI:1336143700
Name:CUENCA, ELENA (LCSW)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:CUENCA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 INDIAN CREEK DR
Mailing Address - Street 2:APT 502
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4729
Mailing Address - Country:US
Mailing Address - Phone:305-836-0012
Mailing Address - Fax:
Practice Address - Street 1:757 NW 66TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-4359
Practice Address - Country:US
Practice Address - Phone:305-836-0012
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical