Provider Demographics
NPI:1396499349
Name:ELIEZER DEFRANCA, LCSW, LCADC LLC
Entity type:Organization
Organization Name:ELIEZER DEFRANCA, LCSW, LCADC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIEZER
Authorized Official - Middle Name:
Authorized Official - Last Name:DEFRANCA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCADC
Authorized Official - Phone:862-485-0638
Mailing Address - Street 1:127 WALCHEST DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-5264
Mailing Address - Country:US
Mailing Address - Phone:862-485-0638
Mailing Address - Fax:201-998-1136
Practice Address - Street 1:10 KETTLE CREEK RD UNIT A
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-1700
Practice Address - Country:US
Practice Address - Phone:862-485-0638
Practice Address - Fax:201-998-1136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty