Provider Demographics
NPI:1134231152
Name:ELIACH-BENAIM, RACHEL (LCSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:ELIACH-BENAIM
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 1:360 CENTRAL PARK W
Mailing Address - Street 2:#11C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6541
Mailing Address - Country:US
Mailing Address - Phone:212-501-2020
Mailing Address - Fax:
Practice Address - Street 1:360 CENTRAL PARK W
Practice Address - Street 2:#11C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6541
Practice Address - Country:US
Practice Address - Phone:212-501-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072760-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical