Provider Demographics
NPI:1720076789
Name:CALAFELL FLERES, ELSIE ESTELA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELSIE
Middle Name:ESTELA
Last Name:CALAFELL FLERES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ELSIE
Other - Middle Name:ESTELA
Other - Last Name:FLERES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9260 SUNSET DR
Mailing Address - Street 2:SUNSET OAKS SUITE 118
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3275
Mailing Address - Country:US
Mailing Address - Phone:305-962-6665
Mailing Address - Fax:305-595-5403
Practice Address - Street 1:9260 SUNSET DR
Practice Address - Street 2:SUNSET OAKS SUITE 118
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3275
Practice Address - Country:US
Practice Address - Phone:305-962-6665
Practice Address - Fax:305-595-5403
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLSW23251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL76158500Medicaid
FL76158500Medicaid