Elaine Elizabeth Bova, LMSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

059952-1 Issued in NY

Practice address

1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782

Phone

(631) 243-1765

Fax

(631) 243-3716

NPI assigned

Apr 18, 2023

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids First Evaluation and Advocacy Center

  • Local Education Agency (LEA)
  • Deer Park, NY
  • NPI 1376699421
  NPD (past)

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1326735622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 ARMAND ST",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101702",
            "telephone_number": "516-509-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 GRAND BLVD STE 5",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295782",
            "telephone_number": "631-243-1765",
            "fax_number": "631-243-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVA",
        "first_name": "ELAINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "059952-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizzette Bonilla, MASTERS PLUS 30
• Scott Christopher Bonner
• Robert Anthony Borruso, ATC, CSCS
• Diana Bosinski
• Lourdes Marie Boursiquot, LPN
• Lauren E Bovelle, R.P.A.
• Dennis Boyle, LCSW
• Jacqueline Bracht
• Anthony A Brazill, MSED
• Nadege Bredy

• School Social Worker in Deer Park, NY
• Providers in Deer Park, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.