Provider Demographics
NPI:1801816558
Name:MADISON, JOAN ELKIN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:ELKIN
Last Name:MADISON
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 1:171 E POST RD
Mailing Address - Street 2:SUITE 312
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4965
Mailing Address - Country:US
Mailing Address - Phone:914-328-3255
Mailing Address - Fax:914-328-3255
Practice Address - Street 1:171 E POST RD
Practice Address - Street 2:SUITE 312
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4965
Practice Address - Country:US
Practice Address - Phone:914-328-3255
Practice Address - Fax:914-328-3255
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0225141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical