| Shoshana Eisenberger, Lcsw Llc | |
|
22345 Guadeloupe St Boca Raton FL 33433-4917 | |
| (845) 548-3595 | |
| (561) 908-6718 |
| Full Name | Shoshana Eisenberger, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 22345 Guadeloupe St, Boca Raton, Florida |
| Authorized Official Name and Position | Stephanie Shoshana Eisenberger (MANAGER/LCSW) |
| Authorized Official Contact | 5612064638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoshana Eisenberger, Lcsw Llc 22345 Guadeloupe St Boca Raton FL 33433-4917 Ph: (845) 548-3595 | Shoshana Eisenberger, Lcsw Llc 22345 Guadeloupe St Boca Raton FL 33433-4917 Ph: (845) 548-3595 |
| NPI Number | 1861918062 |
|---|---|
| Provider Enumeration Date | 08/18/2017 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 5890041594 |
|---|---|
| Medicare Enrollment ID | O20180711001933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861918062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11272 (Florida) | Primary |
| Provider Name | Stephanie S Eisenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558603399 PECOS PAC ID: 3870730674 Enrollment ID: I20130515000540 |
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