Provider Demographics
NPI:1134412620
Name:KOHN, ELIANA CHANA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ELIANA
Middle Name:CHANA
Last Name:KOHN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:ELIANA
Other - Middle Name:CHANA
Other - Last Name:SCHLUSSELBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:792 COLUMBUS AVE
Mailing Address - Street 2:APT 3M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5150
Mailing Address - Country:US
Mailing Address - Phone:845-826-0584
Mailing Address - Fax:
Practice Address - Street 1:792 COLUMBUS AVE
Practice Address - Street 2:APT 3M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5150
Practice Address - Country:US
Practice Address - Phone:845-826-0584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082589-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker