Provider Demographics
NPI:1083135313
Name:CAMERON-NIANG, ELISA LOU (LMHC, LPC, PHD)
Entity type:Individual
Prefix:DR
First Name:ELISA
Middle Name:LOU
Last Name:CAMERON-NIANG
Suffix:
Gender:F
Credentials:LMHC, LPC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 FREDERICK DOUGLASS BLVD # 194
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-1123
Mailing Address - Country:US
Mailing Address - Phone:203-988-4901
Mailing Address - Fax:
Practice Address - Street 1:233 LENOX AVE APT 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6498
Practice Address - Country:US
Practice Address - Phone:203-988-4901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008598101YM0800X
NY68-P138284-01103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health