Provider Demographics
NPI:1407168800
Name:LEVE, ELIANA M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELIANA
Middle Name:M
Last Name:LEVE
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 1:264 LEXINGTON AVE
Mailing Address - Street 2:#2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4182
Mailing Address - Country:US
Mailing Address - Phone:212-889-4486
Mailing Address - Fax:
Practice Address - Street 1:264 LEXINGTON AVE
Practice Address - Street 2:#2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4182
Practice Address - Country:US
Practice Address - Phone:212-889-4486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0774331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical