Provider Demographics
NPI:1689982811
Name:DASGUPTA-TSINIKAS, ELENA DESPINA (LCSW)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:DESPINA
Last Name:DASGUPTA-TSINIKAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 WOODRUFF AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2149
Mailing Address - Country:US
Mailing Address - Phone:562-372-6160
Mailing Address - Fax:562-330-2523
Practice Address - Street 1:3840 WOODRUFF AVE STE 209
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2149
Practice Address - Country:US
Practice Address - Phone:562-372-6160
Practice Address - Fax:562-330-2523
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CAASW 332871041C0700X
CALCSW692991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health