Individual provider Active NPI

Eliezer Vieira Defranca, LCSW, LCADC

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1295170975
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05436600 Issued in NJ
Practice address
127 Walchest Drive
Toms River, NJ 08753
Phone
(862) 485-0638
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00153500 NJ
Clinical Social Worker 1041C0700X 44SC05436600 NJ Primary

Addresses

Primary practice location

127 Walchest Drive
Toms River, NJ 08753

Mailing address

127 Walchest Drive
Toms River, NJ 08753
Phone (862) 485-0638

Other names 1

  • Mr. Elie De Franca Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141024000827 NJ Practitioner - Clinical Social Worker 8921229535 Reassigns benefits to 1 organization
Practice locations: Toms River, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Kettle Creek Rd
Suite a
Toms River, NJ 08753-1700
Phone (862) 485-0638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00153500NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eliezer Defranca, LCSW, Lcadc LLC Clinical CurrentSince Apr 1, 2022 Accepting new patients
The Counseling Center for Relationships, LLC CurrentSince Dec 1, 2024 Accepting new patients
Greater Essex Counseling Services LLC Past Accepting new patients
Creative Healing Psychotherapy LLC PastSince Sep 9, 2022 Accepting new patients

Locations

10 Kettle Creek Rd
Ste A
Toms River, NJ 08753
Phone (732) 742-6572

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1295170975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WALCHEST DRIVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "862-485-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WALCHEST DRIVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "862-485-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCA",
        "first_name": "ELIEZER",
        "middle_name": "VIEIRA",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00153500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05436600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIE",
            "last_name": "DE FRANCA",
            "prefix": "MR.",
            "credential": "LCSW, LCADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.