Organization Active NPI

Trauma Therapy Center LLC

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1821822834
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRAUMA THERAPY CENTER LLC
Practice address
222 Lakeview Ave Ste 800C
West Palm Beach, FL 33401-6148
Phone
(561) 363-7994
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Elizabeth Chelak, LCSW
Title
Owner
Phone
(561) 363-7994

Specialties & licenses 1

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

Addresses

Primary practice location

222 Lakeview Ave Ste 800C
West Palm Beach, FL 33401-6148

Mailing address

628 Madeline Dr
West Palm Beach, FL 33413-3422
Phone (863) 558-3297

National Provider Directory

National Provider Directory

Locations

201 S Biscayne Blvd
Miami, FL 33131
Phone (833) 378-2552

1016 Clare Ave
West Palm Beach, FL 33401
Phone (561) 779-1575

222 Lakeview Ave
Ste 800C
West Palm Beach, FL 33401
Phone (561) 363-7994

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1821822834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 MADELINE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334133422",
            "telephone_number": "863-558-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LAKEVIEW AVE STE 800C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016148",
            "telephone_number": "561-363-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "CHELAK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-363-7994",
        "authorized_official_credential": "LCSW"
    },
    "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 West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.