Doctor Name: | ELISE MEREDITH JEFFERIS |
NPI Number: | 1023229861 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, LCSW |
License Number: | CW016433 |
Business Practice Address: | 123 N Pittsburgh St Zelienople, PA - 160631229 |
Business Phone Number: | 7243961510 |
Business Fax Number: | 7246910476 |
Mailing Address: | 101 Pembroke Ct, GREENSBURG |
State: | PA |
Postal Code: | 156016404 |
Phone Number: | 7243961510 |
Fax Number: | 7246910476 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 02/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW016433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |