| Elizabeth Klasko Lcsw Llc | |
|
6196 Key Largo Lane Boynton Beach FL 33472 | |
| (610) 390-4900 | |
| (866) 757-5778 |
| Full Name | Elizabeth Klasko Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6196 Key Largo Lane, Boynton Beach, Florida |
| Authorized Official Name and Position | Elizabeth Klasko (OWNER/MBR) |
| Authorized Official Contact | 6103904900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Klasko Lcsw Llc 6196 Key Largo Lane Boynton Beach FL 33472 Ph: (610) 390-4900 | Elizabeth Klasko Lcsw Llc 6196 Key Largo Lane Boynton Beach FL 33472 Ph: (610) 390-4900 |
| NPI Number | 1053089706 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Medicare PECOS PAC ID | 7810386984 |
|---|---|
| Medicare Enrollment ID | O20211110002171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053089706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth S Klasko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023247301 PECOS PAC ID: 6204974157 Enrollment ID: I20091112000637 |
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