Provider Demographics
NPI:1205304680
Name:PODELL, ELENA MARCI (LCSW)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:MARCI
Last Name:PODELL
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 1:475 MARKET ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-3126
Mailing Address - Country:US
Mailing Address - Phone:973-796-6511
Mailing Address - Fax:
Practice Address - Street 1:475 MARKET ST STE 100
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-3126
Practice Address - Country:US
Practice Address - Phone:973-796-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094571-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical