Provider Demographics
NPI:1992135461
Name:PAPAMIHALAKIS, ELIZABETH E (LSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:E
Last Name:PAPAMIHALAKIS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:E
Other - Last Name:RADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:501 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:ELMER
Mailing Address - State:NJ
Mailing Address - Zip Code:08318-2101
Mailing Address - Country:US
Mailing Address - Phone:856-363-1812
Mailing Address - Fax:
Practice Address - Street 1:501 FRONT ST
Practice Address - Street 2:
Practice Address - City:ELMER
Practice Address - State:NJ
Practice Address - Zip Code:08318-2101
Practice Address - Country:US
Practice Address - Phone:856-363-1812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05651800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker