Provider Demographics
NPI:1033383179
Name:ESTHER L KLEIN, PA
Entity Type:Organization
Organization Name:ESTHER L KLEIN, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-726-5049
Mailing Address - Street 1:1706 CYPRESS TRACE DR
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-4501
Mailing Address - Country:US
Mailing Address - Phone:727-726-5049
Mailing Address - Fax:866-469-3880
Practice Address - Street 1:132 10TH AVE N
Practice Address - Street 2:SUITE 103
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3407
Practice Address - Country:US
Practice Address - Phone:727-726-5049
Practice Address - Fax:866-469-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-19
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW07821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ2437Medicare PIN