Provider Demographics
NPI:1912040932
Name:ELLIAS-FRANKEL, MARSHA (MSW)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:ELLIAS-FRANKEL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257A MONMOUTH RD
Mailing Address - Street 2:SUITE 5 2ND FL
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755
Mailing Address - Country:US
Mailing Address - Phone:732-531-5777
Mailing Address - Fax:732-229-6103
Practice Address - Street 1:257A MONMOUTH RD
Practice Address - Street 2:SUITE 5 2ND FL
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755
Practice Address - Country:US
Practice Address - Phone:732-531-5777
Practice Address - Fax:732-229-6103
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC002702001041C0700X
NJ37F100080200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37F100080200OtherMARRIAGE&FAMILY THERAPIST
NJ44SC00270200OtherLICCLINICAL SOCIAL WORKER
NJ640802Medicare ID - Type UnspecifiedPROVIDER