Provider Demographics
NPI:1992753719
Name:DREW, ELEANOR BROOKS (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:BROOKS
Last Name:DREW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 E 91ST ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1657
Mailing Address - Country:US
Mailing Address - Phone:212-831-8583
Mailing Address - Fax:212-831-8583
Practice Address - Street 1:108 E 91ST ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1657
Practice Address - Country:US
Practice Address - Phone:212-831-8583
Practice Address - Fax:212-831-8583
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0494701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND7511Medicare ID - Type Unspecified