Provider Demographics
NPI:1659417780
Name:GALASSO, ELAINE L (MSW LCSW LMFT)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:L
Last Name:GALASSO
Suffix:
Gender:F
Credentials:MSW LCSW LMFT
Other - Prefix:MS
Other - First Name:ELAINE
Other - Middle Name:GALASSO
Other - Last Name:HAVICAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW LCSW LMFT
Mailing Address - Street 1:7 PICNIC GROVE ROAD
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08825
Mailing Address - Country:US
Mailing Address - Phone:908-996-3815
Mailing Address - Fax:
Practice Address - Street 1:7 PICNIC GROVE ROAD
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08825
Practice Address - Country:US
Practice Address - Phone:908-996-3815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC018491041C0700X
NJFI01316106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist