| Eliezer Defranca, Lcsw, Lcadc Llc | |
|
10 Kettle Creek Rd Unit A Toms River NJ 08753-1700 | |
| (862) 485-0638 | |
| (201) 998-1136 |
| Full Name | Eliezer Defranca, Lcsw, Lcadc Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10 Kettle Creek Rd Unit A, Toms River, New Jersey |
| Authorized Official Name and Position | Eliezer Defranca (LEAD THERAPIST) |
| Authorized Official Contact | 8624850638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eliezer Defranca, Lcsw, Lcadc Llc 127 Walchest Dr Toms River NJ 08753-5264 Ph: (862) 485-0638 | Eliezer Defranca, Lcsw, Lcadc Llc 10 Kettle Creek Rd Unit A Toms River NJ 08753-1700 Ph: (862) 485-0638 |
| NPI Number | 1396499349 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 02/08/2022 |
| Medicare PECOS PAC ID | 9234516972 |
|---|---|
| Medicare Enrollment ID | O20220518000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396499349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eliezer De Franca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295170975 PECOS PAC ID: 8921229535 Enrollment ID: I20141024000827 |
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