Provider Demographics
NPI:1528502127
Name:DENNIS, ELIZABETH (LMSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:DENNIS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 PARK HILL AVE
Mailing Address - Street 2:C/O WJCS @ YONKERS PUBLIC SCHOOL 18
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-4822
Mailing Address - Country:US
Mailing Address - Phone:914-376-8174
Mailing Address - Fax:914-376-3715
Practice Address - Street 1:77 PARK HILL AVE
Practice Address - Street 2:C/O WJCS @ YONKERS PUBLIC SCHOOL 18
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4822
Practice Address - Country:US
Practice Address - Phone:914-376-8174
Practice Address - Fax:914-376-3715
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097346104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker