Individual
ELISE MEREDITH JEFFERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LCSW
Contact information
Practice address
123 N PITTSBURGH ST, ZELIENOPLE, PA 16063-1229
(724) 396-1510
(724) 691-0476
Mailing address
101 PEMBROKE CT, GREENSBURG, PA 15601-6404
(724) 396-1510
(724) 691-0476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016433
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168201ZDEJ
MEDICARE PTAN
PA
01
—
601018
MEDICAID VALUE OPTIONS
PA
Enumeration date
05/24/2007
Last updated
02/25/2011
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