Provider Demographics
NPI:1366743205
Name:HARRISON-YAU, ELAINE JOANNE (LCSW, MSW, MS, MS)
Entity type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:JOANNE
Last Name:HARRISON-YAU
Suffix:
Gender:F
Credentials:LCSW, MSW, MS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PAUL PL
Mailing Address - Street 2:
Mailing Address - City:FANWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07023-1014
Mailing Address - Country:US
Mailing Address - Phone:908-312-0709
Mailing Address - Fax:
Practice Address - Street 1:567 PARK AVE STE 204
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1754
Practice Address - Country:US
Practice Address - Phone:908-242-3634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC060631001041C0700X
NJ44SL06518600104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker