Provider Demographics
NPI:1336883305
Name:ISSER, ELANA HOROWITZ (LCSW)
Entity Type:Individual
Prefix:
First Name:ELANA
Middle Name:HOROWITZ
Last Name:ISSER
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 1:1775 WINDSOR RD APT 393
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3075
Mailing Address - Country:US
Mailing Address - Phone:201-759-7480
Mailing Address - Fax:
Practice Address - Street 1:1775 WINDSOR RD APT 393
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3075
Practice Address - Country:US
Practice Address - Phone:201-759-7480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical