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ELINA POLYAKOV LCSW
NPI 1205000833
Social Worker - Clinical in Nanuet, NY

Active since April 15, 2008Opted out of Medicare · through Jul 1, 2028
150 AIRPORT EXECUTIVE PARK, SUITE 152, NANUET, NY 10954(646) 312-9473 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Elina Polyakov Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELINA POLYAKOV LCSW (NPI 1205000833) is an individual clinical provider in Nanuet, New York, licensed in New York (070111-1) and active in the NPI registry since April 2008. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1205000833
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELINA POLYAKOVCredential: LCSW
Location Address150 AIRPORT EXECUTIVE PARK, SUITE 152Nanuet, NY 10954-5261
Mailing Address40-09 Monroe StFair Lawn, NJ 07410-4950 · (646) 312-9473
Phone(646) 312-9473
Sole ProprietorYes
Enumeration DateApril 15, 2008
✔ NPI 1205000833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 070111-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 44SL05435900 (NJ)
150 AIRPORT EXECUTIVE PARK, Nanuet, NY 10954
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Elina Polyakov Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC
Prosthetic/Orthotic Supplier
150 AIRPORT EXECUTIVE PARK, 2ND FLOOR, SUITE 159
NANUET, NY 10954
Rockland County (845) 624-3360
BG CENTER
Psychologist
150 AIRPORT EXECUTIVE PARK, SUITE 152
NANUET, NY 10954
Rockland County (845) 694-8496

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elina Polyakov's NPI number?

The NPI number for Elina Polyakov is 1205000833. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Elina Polyakov located?

Elina Polyakov practices at 150 Airport Executive Park Suite 152, Nanuet, NY 10954. The listed phone number is (646) 312-9473.

What is Elina Polyakov's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elina Polyakov enrolled in Medicare?

No. Elina Polyakov has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Elina Polyakov was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.