Provider Demographics
NPI:1609277110
Name:EL GAWISH, NADIN A (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:NADIN
Middle Name:A
Last Name:EL GAWISH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 E JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7501
Mailing Address - Country:US
Mailing Address - Phone:631-854-4400
Mailing Address - Fax:
Practice Address - Street 1:689 E JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-7501
Practice Address - Country:US
Practice Address - Phone:631-854-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker