Elliott, Stephen Mark
Elliott, Stephen Mark is an individual health care provider with primary practice located at 320 Central Park W Suite 1 E, New York NY 10025-7659. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elliott, Stephen Mark can be contacted via phone (212) 721-1523.Contact Information
Primary practice address
320 Central Park W Suite 1 E
New York NY 10025-7659
Phone: (212) 721-1523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R035987-1 | New York |
Profile Details
| NPI number | 1669471611 |
|---|---|
| LBN Legal business name | Elliott, Stephen Mark |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669471611 | NPPES |
| New York | MEDICAID | 01546170 |
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