Elchanan Yochanan Eskenazi, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW139723 Issued in PA

Practice address

164 Latches LN
Bala Cynwyd, PA 19004-3015

Phone

(917) 579-9579

NPI assigned

Jun 19, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Main Line Anxiety and Ocd Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bala Cynwyd, PA
  • NPI 1598683146
  NPD (past) Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1437834397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 LATCHES LN",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043015",
            "telephone_number": "610-664-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 LATCHES LN",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043015",
            "telephone_number": "917-579-9579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9225 Old Bustleton Ave # 4615",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191154615",
            "country_code": "US",
            "telephone_number": "215-969-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESKENAZI",
        "first_name": "ELCHANAN",
        "middle_name": "YOCHANAN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06888100",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enlightened Solutions Philadelphia ,LLC
• Epeople Health Care Inc
• Epic Health Services (PA), LLC
• Epic Professionals LLC
• Epiphany Counseling and Consulting
• Eudora Durable Medical Equipment Inc
• Euphoria Health LLC
• Kaitlynn Ewing
• Exeter Medical Alliace
• Eye Surgery of the Main Line, LLC

• All providers in Bala Cynwyd, PA
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.