Mr Georges Henry Mombrun, LCSW, LCADC is a
Counselor - Addiction (substance Use Disorder) based in Orange, New Jersey. Mr Georges Henry Mombrun is licensed to practice in New Jersey (license number 37LC00326700) and his current practice location is
560 Morris St, Orange, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 592-9836.
NPI number for Mr Georges Henry Mombrun is 1285368746 and his current mailing address is 560 Morris St, Orange, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285368746.
Healthcare Provider's Profile
| Full Name | Mr Georges Henry Mombrun |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 560 Morris St, Orange, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285368746
- Provider Enumeration Date: 07/12/2022
- Last Update Date: 07/12/2022
Medical Identifiers
Medical identifiers for Mr Georges Henry Mombrun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285368746 | NPI | - | NPPES |
| 093201 | Other | | SELF-ISSUED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 44SC05967900 (New Jersey) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00326700 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Georges Henry Mombrun is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Georges Henry Mombrun, LCSW, LCADC
560 Morris St,
Orange, NJ 07050-1112
Ph: (973) 592-9836 | Mr Georges Henry Mombrun, LCSW, LCADC
560 Morris St,
Orange, NJ 07050-1112
Ph: (973) 592-9836 |
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