Provider Demographics
NPI:1295570356
Name:PALAY, ELLIOT (LCSW)
Entity type:Individual
Prefix:
First Name:ELLIOT
Middle Name:
Last Name:PALAY
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 1:16401 N 62ND ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1317
Mailing Address - Country:US
Mailing Address - Phone:480-907-5002
Mailing Address - Fax:
Practice Address - Street 1:7121 W BELL RD STE 240
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8559
Practice Address - Country:US
Practice Address - Phone:602-529-1463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-211121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical