Organization Active NPI

Elaine Yudkovitz PHD LCSW PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1235789611
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELAINE YUDKOVITZ PHD LCSW PLLC
Practice address
80 8TH Ave Ste 1605
New York, NY 10011-7154
Phone
(212) 989-3689
NPI assigned
Sep 17, 2019
Last updated
Sep 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elaine Yudkovitz, PHD, LCSWNPI 1801062419
Title
President
Phone
(212) 989-3689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

80 8TH Ave Ste 1605
New York, NY 10011-7154

Mailing address

80 8TH Ave Ste 1605
New York, NY 10011-7154
Phone (212) 989-3689

Other names 1

  • ELAINE YUDKOVITZ PHD LCSW PC Former legal business name

National Provider Directory

National Provider Directory

Locations

80 8th Ave
Ste 600
New York, NY 10011
Phone (212) 979-3689

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1235789611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 8TH AVE STE 1605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117154",
            "telephone_number": "212-989-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 8TH AVE STE 1605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117154",
            "telephone_number": "212-989-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE YUDKOVITZ PHD LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "YUDKOVITZ",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-989-3689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELAINE YUDKOVITZ PHD LCSW PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.