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
Fax: (606) 436-5797
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902914211 NPPES
Kentucky MEDICAID 7100411020

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