Provider Demographics
NPI:1467129270
Name:DUBOVSKY, ELIZABETH ALICE (CSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ALICE
Last Name:DUBOVSKY
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2256 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3239
Mailing Address - Country:US
Mailing Address - Phone:267-353-1994
Mailing Address - Fax:
Practice Address - Street 1:31 GIRARD ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1664
Practice Address - Country:US
Practice Address - Phone:310-619-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-28
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY255859104100000X
KY2597131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker