Provider Demographics
NPI:1730499146
Name:WOLFSON, ELLEN S (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:S
Last Name:WOLFSON
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 1:24 SPRINGHURST PARK
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-3100
Mailing Address - Country:US
Mailing Address - Phone:914-329-8973
Mailing Address - Fax:
Practice Address - Street 1:24 SPRINGHURST PARK
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-3100
Practice Address - Country:US
Practice Address - Phone:914-329-8973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR030621-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker