Provider Demographics
NPI:1639640642
Name:ELIZABETH PLATE LCSW PLLC
Entity Type:Organization
Organization Name:ELIZABETH PLATE LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PLATE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:516-702-3013
Mailing Address - Street 1:PO BOX 1592
Mailing Address - Street 2:
Mailing Address - City:QUOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11959-1592
Mailing Address - Country:US
Mailing Address - Phone:516-702-3013
Mailing Address - Fax:631-693-6516
Practice Address - Street 1:43 SCRUB OAK ROAD
Practice Address - Street 2:
Practice Address - City:QUOGUE
Practice Address - State:NY
Practice Address - Zip Code:11959-1592
Practice Address - Country:US
Practice Address - Phone:516-702-3013
Practice Address - Fax:631-693-6516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health