Provider Demographics
NPI:1477610079
Name:BIEBER, ELAINE RITA (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:RITA
Last Name:BIEBER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:DR
Other - First Name:ELAINE
Other - Middle Name:EATON
Other - Last Name:BIEBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LCSW
Mailing Address - Street 1:34 TURNER DR
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1110
Mailing Address - Country:US
Mailing Address - Phone:914-241-2790
Mailing Address - Fax:914-666-8066
Practice Address - Street 1:34 TURNER DR
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-1110
Practice Address - Country:US
Practice Address - Phone:914-241-2790
Practice Address - Fax:914-666-8066
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
NYR0258571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN0H001Medicare ID - Type Unspecified