Provider Demographics
NPI:1568998573
Name:KAPLAN, ELIOT (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ELIOT
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:763 EASTERN PKWY
Mailing Address - Street 2:APT B20
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-3449
Mailing Address - Country:US
Mailing Address - Phone:917-345-5750
Mailing Address - Fax:347-413-7099
Practice Address - Street 1:763 EASTERN PKWY
Practice Address - Street 2:APT B20
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-3449
Practice Address - Country:US
Practice Address - Phone:917-345-5750
Practice Address - Fax:347-413-7099
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-0368181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical