MEDICARE: ELANA LIPKIN LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	117486-01	NY

General Provider Information

NPI Number	:	1649060393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELANA LIPKIN LMSW

Provider Business Mailing Address
First Line	:	10685B HAZELHURST DR # 40432
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-3238
Country	:	US
Telephone Number	:	845-325-8809
Fax Number	:

Provider Business Practice Location Address
First Line	:	10685B HAZELHURST DR # 40432
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-3238
Country	:	US
Telephone Number	:	845-533-3014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	05/07/2025

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