Provider Demographics
NPI:1255102489
Name:CHELAK, ELIZABETH (LCSW)
Entity type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:
Last Name:CHELAK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:CHELAK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:628 MADELINE DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3422
Mailing Address - Country:US
Mailing Address - Phone:863-558-3297
Mailing Address - Fax:
Practice Address - Street 1:222 LAKEVIEW AVE STE 800C
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6148
Practice Address - Country:US
Practice Address - Phone:561-363-7994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW233371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical