Provider Demographics
NPI:1487851028
Name:FELICIA EINHORN LCSW LLC
Entity type:Organization
Organization Name:FELICIA EINHORN LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EINHORN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-638-7789
Mailing Address - Street 1:14000 MILITARY TRAIL
Mailing Address - Street 2:SUITE 206C
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-2654
Mailing Address - Country:US
Mailing Address - Phone:561-638-7789
Mailing Address - Fax:561-638-7559
Practice Address - Street 1:14000 MILITARY TRAIL
Practice Address - Street 2:SUITE 206C
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-2654
Practice Address - Country:US
Practice Address - Phone:561-638-7789
Practice Address - Fax:561-638-7559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW74861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ121KOtherBCBS OF FLORIDA
FLU5128Medicare ID - Type UnspecifiedPTAN