Provider Demographics
NPI:1114062452
Name:PLASENCIA, ELENA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELENA
Middle Name:
Last Name:PLASENCIA
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 1:12356 SW 10TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184
Mailing Address - Country:US
Mailing Address - Phone:305-925-4280
Mailing Address - Fax:305-275-1388
Practice Address - Street 1:10830 SW 113TH PLACE SUITE A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-3227
Practice Address - Country:US
Practice Address - Phone:305-925-4280
Practice Address - Fax:305-275-1388
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 75511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical