Provider Demographics
NPI:1437216140
Name:HOPSON, ELAINE M (LCSW)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:M
Last Name:HOPSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:M
Other - Last Name:NEMEROFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:222 MARTLING AVE
Mailing Address - Street 2:STE. 3A
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-4756
Mailing Address - Country:US
Mailing Address - Phone:914-332-4533
Mailing Address - Fax:212-426-5107
Practice Address - Street 1:1651 3RD AVE
Practice Address - Street 2:STE. 201
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3679
Practice Address - Country:US
Practice Address - Phone:917-584-4700
Practice Address - Fax:212-426-5107
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR 031073-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN6M661Medicare ID - Type Unspecified
NYN6M662Medicare ID - Type Unspecified