Wellformed AI

NPI 1902628993 · live from the CMS NPI Registry

Eli Adler, LMSW

Social Worker, Clinical in New Square, NY. National Provider Identifier 1902628993, active.

NPI record

NPI1902628993 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location728 N Main St, New Square, NY 10977
Practice phone845-354-9733
Mailing address185 Passaic Ave Apt 5, Passaic, NJ 07055
EnumeratedOctober 30, 2024
Last updatedOctober 30, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X125513 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.