Fraley, Elisa
Fraley, Elisa is an sole proprietor health care provider with primary practice located at 4425 Military Trail Suite203, Jupiter FL 33458-4817. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fraley, Elisa can be contacted via phone (561) 383-8000.Contact Information
Primary practice address
4425 Military Trail Suite203
Jupiter FL 33458-4817
Phone: (561) 383-8000
Fax: (561) 514-1275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW4901 | Florida |
Profile Details
| NPI number | 1225105778 |
|---|---|
| LBN Legal business name | Fraley, Elisa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jan 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225105778 | NPPES |
| Florida | Other | SW4901 | STATE LICENSE |
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