Healthcare Provider Details
I. General information
NPI: 1194692293
Provider Name (Legal Business Name): ELENA KUIVILA MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
156 5TH AVE STE 1118
NEW YORK NY
10010-7744
US
IV. Provider business mailing address
265 E 66TH ST APT 22C
NEW YORK NY
10065-6406
US
V. Phone/Fax
- Phone: 216-409-3367
- Fax:
- Phone: 216-409-3367
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: