Provider Demographics
NPI:1679933410
Name:TOCHILNIKOVA, ELINA (MSW)
Entity Type:Individual
Prefix:
First Name:ELINA
Middle Name:
Last Name:TOCHILNIKOVA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1874 COMMONWEALTH AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-6019
Mailing Address - Country:US
Mailing Address - Phone:413-222-7077
Mailing Address - Fax:
Practice Address - Street 1:1874 COMMONWEALTH AVE APT 4
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-6019
Practice Address - Country:US
Practice Address - Phone:413-222-7077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-06
Last Update Date:2016-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical