Individual provider Active NPI

Elaine Joanne Harrison-Yau, LCSW, MSW, M.S, M.S.

  • Clinical Social Worker
  • Scotch Plains, NJ
National Provider Identifier
1366743205
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06063100 Issued in NJ
Practice address
567 Park Ave Ste 204
Scotch Plains, NJ 07076-1754
Phone
(908) 242-3634
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06063100 NJ Primary
Social Worker 104100000X 44SL06518600 NJ

Addresses

Primary practice location

567 Park Ave Ste 204
Scotch Plains, NJ 07076-1754

Mailing address

10 Paul PL
Fanwood, NJ 07023-1014
Phone (908) 312-0709

Other practice location 1

612 E 7th St
Apt. 2C
Brooklyn, NY 11218-5902
Phone (646) 996-9280

Other practice location 2

285 E Main St
Somerville, NJ 08876-3005
Phone (908) 312-0709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 22, 2022 through Feb 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
44SL06518600NJMDSocial Worker
44SC06063100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Minds Psychological Services Clinical PastSince Apr 20, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1366743205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PAUL PL",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231014",
            "telephone_number": "908-312-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 PARK AVE STE 204",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761754",
            "telephone_number": "908-242-3634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 E 7th St",
            "address_2": "Apt. 2C",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112185902",
            "country_code": "US",
            "telephone_number": "646-996-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 E Main St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "NJ",
            "postal_code": "088763005",
            "country_code": "US",
            "telephone_number": "908-312-0709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON-YAU",
        "first_name": "ELAINE",
        "middle_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW, M.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06063100",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06518600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

Verify at the official NPI Registry.