Basic Information
Provider Information
NPI: 1669524427
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHECHTEL
FirstName: ELAINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW-R, ACSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14015B SANFORD AVE FL 2
Address2:  
City: FLUSHING
State: NY
PostalCode: 113552557
CountryCode: US
TelephoneNumber: 7183588288
FaxNumber: 7183585265
Practice Location
Address1: 14015 SANFORD AVE FL 2B
Address2:  
City: FLUSHING
State: NY
PostalCode: 113552686
CountryCode: US
TelephoneNumber: 7183588288
FaxNumber: 7183585265
Other Information
ProviderEnumerationDate: 01/18/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XR-42012-1NYY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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