Eldridge, Freida
Eldridge, Freida is an individual health care provider with primary practice located at 115 Rockwood Ln , Hazard KY 41701-9415. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eldridge, Freida can be contacted via phone (606) 436-5761.Contact Information
Primary practice address
115 Rockwood Ln
Hazard KY 41701-9415
Phone: (606) 436-5761
Fax: (606) 436-5797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3358 | Kentucky |
Profile Details
| NPI number | 1902914211 |
|---|---|
| LBN Legal business name | Eldridge, Freida |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Sep 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902914211 | NPPES |
| Kentucky | MEDICAID | 7100411020 |
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