Provider Demographics
NPI:1396169256
Name:HANDLEMAN, ELAINE H (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:H
Last Name:HANDLEMAN
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 1:2305 AVERY CT
Mailing Address - Street 2:BLDG 4
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-6090
Mailing Address - Country:US
Mailing Address - Phone:732-735-8250
Mailing Address - Fax:
Practice Address - Street 1:2305 AVERY CT
Practice Address - Street 2:BLDG 4
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-6090
Practice Address - Country:US
Practice Address - Phone:732-735-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC008490001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical