Provider Demographics
NPI:1891850897
Name:SAELI, EVELYN PATRICIA (L-CSW)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:PATRICIA
Last Name:SAELI
Suffix:
Gender:F
Credentials:L-CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154B N BROADWAY
Mailing Address - Street 2:APT A
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-3656
Mailing Address - Country:US
Mailing Address - Phone:914-946-1772
Mailing Address - Fax:914-946-2797
Practice Address - Street 1:154B N BROADWAY APT A
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-3634
Practice Address - Country:US
Practice Address - Phone:914-946-1776
Practice Address - Fax:914-946-2797
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2022-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR032304-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN8B841Medicare PIN