Elan Adina Abreu, MSW
Individual provider Active NPI School Social Worker · Kingston, NY
NPI 1659077477 · NPPES record last updated Feb 2, 2023
Key facts
- NPI
- 1659077477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- 117437-01 (NY)
- Practice address
- 122 Oneil St
Kingston, NY 12401-3512 - Phone
- (845) 389-4789
- NPI assigned
- Feb 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117437-01 | NY | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 117437-01 | NY | Yes |
Addresses
Primary practice location
122 Oneil St
Kingston, NY 12401-3512
Mailing address
122 Oneil St
Kingston, NY 12401-3512
Phone (845) 389-4789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117437-01 | Other | NY | UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT |
Other providers in Kingston, NY
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All providers in Kingston, NY · School Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.