Elisa Fraley, P.a.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELISA FRALEY, P.A.

Practice address

125 W Indiantown Rd Ste 106
Jupiter, FL 33458-3539

Phone

(561) 371-7722

Fax

(866) 718-3107

NPI assigned

Apr 7, 2022

Organization subpart

No

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

Authorized official

Name

Elisa Ann Fraley, LCSWNPI 1225105778

Title

Owner

Phone

(561) 371-7722

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Elisa Fraley, LCSW

  • Clinical Social Worker
  • Jupiter, FL
  • NPI 1225105778
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1912649369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LIGHTHOUSE CIR APT B",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334694706",
            "telephone_number": "561-371-7722",
            "fax_number": "866-718-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W INDIANTOWN RD STE 106",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583539",
            "telephone_number": "561-371-7722",
            "fax_number": "866-718-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA FRALEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-371-7722",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SW4901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ek Glow Wellness & Aesthetics, LLC
• Charles E Ekiert, RPT
• Ekj Freedom Inc. (SYNERGY HomeCare of Jupiter)
• Elaine Banta PHD PA
• Ahmed Moustafa Elhaddad, M.D.
• Elise Chang Hillmann MD PA
• Elite Labs, LLC
• Elite Performance Chiropractic LLC
• Elite Therapy and Wellness Inc
• Elite-E Counseling (Clarity Health Solutions)

• Clinical Social Worker in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.