Provider Demographics
NPI:1043057565
Name:MALINOSKI, ELIANA RAMOS (LCSW)
Entity type:Individual
Prefix:
First Name:ELIANA
Middle Name:RAMOS
Last Name:MALINOSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CENTRE ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4092
Mailing Address - Country:US
Mailing Address - Phone:508-510-4483
Mailing Address - Fax:508-857-3817
Practice Address - Street 1:INCLUSION FAMILY COUNSELING CENTER
Practice Address - Street 2:1 CENTER STREET
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-510-4483
Practice Address - Fax:508-857-3817
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2197961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical