Provider Demographics
NPI:1629350806
Name:BECK, MAYA ELANIT (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:MAYA
Middle Name:ELANIT
Last Name:BECK
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 1:232 OAKFORD ST
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3219
Mailing Address - Country:US
Mailing Address - Phone:718-744-4265
Mailing Address - Fax:
Practice Address - Street 1:422 BERRYWOOD CT
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2508
Practice Address - Country:US
Practice Address - Phone:516-592-1107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082741-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker