Provider Demographics
NPI:1619945565
Name:WINSLOW, ELIZABETH H (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:H
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PAHC 1075 STEPHENSON AVE
Mailing Address - Street 2:ATTN CREDENTIALS OFFICE
Mailing Address - City:FORT MONMOUTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07703-5000
Mailing Address - Country:US
Mailing Address - Phone:732-532-0182
Mailing Address - Fax:732-532-0194
Practice Address - Street 1:114 WHITE AVE
Practice Address - Street 2:BLDG 114
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11252
Practice Address - Country:US
Practice Address - Phone:718-630-4242
Practice Address - Fax:718-630-4337
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYR05818011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical