Provider Demographics
NPI:1194863779
Name:EINHORN, FELICIA K (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:K
Last Name:EINHORN
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 1:14000 MILITARY TRL
Mailing Address - Street 2:SUITE 206C
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-2610
Mailing Address - Country:US
Mailing Address - Phone:561-638-7789
Mailing Address - Fax:561-638-7559
Practice Address - Street 1:14000 MILITARY TRL
Practice Address - Street 2:SUITE 206C
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-2610
Practice Address - Country:US
Practice Address - Phone:561-638-7789
Practice Address - Fax:561-638-7559
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW74861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5128Medicare ID - Type Unspecified