Provider Demographics
NPI:1679578454
Name:ALPERIN, YELENA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:YELENA
Middle Name:
Last Name:ALPERIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:YELENA
Other - Middle Name:
Other - Last Name:BALANCHENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:395 RIVERSIDE DR
Mailing Address - Street 2:APT 5G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1859
Mailing Address - Country:US
Mailing Address - Phone:646-345-1372
Mailing Address - Fax:
Practice Address - Street 1:40 W 86TH ST
Practice Address - Street 2:1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3605
Practice Address - Country:US
Practice Address - Phone:646-345-1372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR039827-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN73931Medicare PIN