Healthcare Provider Details

I. General information

NPI: 1619100609
Provider Name (Legal Business Name): ELIZABETH GELFAND LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 12/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 W. PROSPECT AVE SUITE 412 THE GUIDANCE CENTER OF WESTCHESTER
MOUNT VERNON NY
10553
US

IV. Provider business mailing address

9 W. PROSPECT AVE SUITE 412
MOUNT VERNON NY
10553
US

V. Phone/Fax

Practice location:
  • Phone: 914-363-6339
  • Fax: 914-665-2850
Mailing address:
  • Phone: 914-363-6339
  • Fax: 914-665-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number080114-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number080114
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: