Organization Active NPI

Eliezer Defranca, LCSW, Lcadc LLC

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1396499349
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELIEZER DEFRANCA, LCSW, LCADC LLC
Practice address
10 Kettle Creek Rd Unit a
Toms River, NJ 08753-1700
Phone
(862) 485-0638
Fax
(201) 998-1136
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Mr. Eliezer Defranca, LCSW, LCADCNPI 1295170975
Title
Lead Therapist
Phone
(862) 485-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10 Kettle Creek Rd Unit a
Toms River, NJ 08753-1700

Mailing address

127 Walchest Dr
Toms River, NJ 08753-5264
Phone (862) 485-0638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220518000710 NJ Part B Supplier - Clinic/Group Practice 9234516972 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

10 Kettle Creek Rd
Unit A
Toms River, NJ 08753
Phone (862) 485-0638

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1396499349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WALCHEST DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087535264",
            "telephone_number": "862-485-0638",
            "fax_number": "201-998-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KETTLE CREEK RD UNIT A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087531700",
            "telephone_number": "862-485-0638",
            "fax_number": "201-998-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIEZER DEFRANCA, LCSW, LCADC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "DEFRANCA",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "LEAD THERAPIST",
        "authorized_official_telephone_number": "862-485-0638",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.