Provider Demographics
NPI:1144690025
Name:GONZALEZ, ELANA MANOLIS (LCSW)
Entity type:Individual
Prefix:
First Name:ELANA
Middle Name:MANOLIS
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELANA
Other - Middle Name:PATRICIA
Other - Last Name:MANOLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:471 SHELBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-3613
Mailing Address - Country:US
Mailing Address - Phone:724-493-2604
Mailing Address - Fax:
Practice Address - Street 1:8350 FRANKSTOWN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-1336
Practice Address - Country:US
Practice Address - Phone:724-493-2604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0159491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical