Provider Demographics
NPI:1821229535
Name:SCHUMSKY BURGER, ELANA (LMSW)
Entity Type:Individual
Prefix:
First Name:ELANA
Middle Name:
Last Name:SCHUMSKY BURGER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15228 MELBOURNE AVE
Mailing Address - Street 2:APT #232B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1440
Mailing Address - Country:US
Mailing Address - Phone:718-374-3492
Mailing Address - Fax:
Practice Address - Street 1:15228 MELBOURNE AVE
Practice Address - Street 2:APT #232B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1440
Practice Address - Country:US
Practice Address - Phone:718-374-3492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078587104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker