Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELISE LARK, PHD, LCSW, OSW-C
Active Sole ProprietorDR. ELISE LARK, PHD, LCSW, OSW-C is a Clinical Social Worker healthcare provider located in OLIVEBRIDGE, New York. NPI 1932600061 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · OLIVEBRIDGE, NY
Registration Details
- NPI Number
- 1932600061
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 23, 2018 (8.4710629806284 yrs)
- Last Updated
- Feb 23, 2018
- License
-
070132-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
172 ACORN HILL RDOLIVEBRIDGE, NY, 124615402Browse NY providers · Browse ZIP 12461
- Phone
- 8452044450
- Fax
- 8456572850
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in OLIVEBRIDGE, NY
| Name | Credential | NPI |
|---|---|---|
| MS. KERREN BITNER | LCSWR | 1144619552 |
| JEFFREY EUGENE ROBERTS | LCSW | 1649862517 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.