Provider Demographics
NPI:1972829216
Name:ELKIND, HAILEY (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:HAILEY
Middle Name:
Last Name:ELKIND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:
Other - Last Name:ELKIND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2901 CAMPUS RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2153
Mailing Address - Country:US
Mailing Address - Phone:718-986-3155
Mailing Address - Fax:
Practice Address - Street 1:2901 CAMPUS RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2153
Practice Address - Country:US
Practice Address - Phone:718-986-3155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0808801104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker