Provider Demographics
NPI:1083007249
Name:KESSLER, ELISA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELISA
Middle Name:
Last Name:KESSLER
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 1:1250 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2221
Mailing Address - Country:US
Mailing Address - Phone:941-363-0878
Mailing Address - Fax:941-363-0527
Practice Address - Street 1:1110 MONTLIMAR DR
Practice Address - Street 2:SUITE 500
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1723
Practice Address - Country:US
Practice Address - Phone:251-662-9466
Practice Address - Fax:941-363-0527
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1915C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical