Elana Axelrod, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085475-1 Issued in NY

Practice address

275 Harbor Dr
Lido Beach, NY 11561-4906

Phone

(631) 219-6683

NPI assigned

Jun 24, 2017

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

Other names 1

• Elana Marcus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elana Axelrod LCSW PLLC

  • Clinical Social Worker
  • Roslyn Heights, NY
  • NPI 1932939667
  NPD Authorized official

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1780104315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HARBOR DR",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115614906",
            "telephone_number": "631-219-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HARBOR DR",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115614906",
            "telephone_number": "631-219-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELROD",
        "first_name": "ELANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085475-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELANA",
            "last_name": "MARCUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Axelrod, DC, LAC
• Chana Baumann, FNP
• Martina Petra Beloyianis, SLP
• Adena Berkowitz, DHL, LP
• Jeffrey C Blum, O.D.
• Brookville Center for Childrens Services Inc

• Clinical Social Worker in Lido Beach, NY
• Providers in Lido Beach, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.