Provider Demographics
NPI:1326209552
Name:CLAPIS, ELIA B (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELIA
Middle Name:B
Last Name:CLAPIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELLIE
Other - Middle Name:B
Other - Last Name:CLAPIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1 WASHINGTON AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482
Mailing Address - Country:US
Mailing Address - Phone:203-270-3501
Mailing Address - Fax:203-264-7352
Practice Address - Street 1:1 WASHINGTON AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482
Practice Address - Country:US
Practice Address - Phone:203-270-3501
Practice Address - Fax:203-264-7352
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0041051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT800002788Medicare PIN