Mrs Peggy Ilona Waller, LCSW, LCADC is a
Social Worker - Clinical based in Mendham, New Jersey. Mrs Peggy Ilona Waller is licensed to practice in New Jersey (license number 44SC05457700) and her current practice location is
80 W Main St, Mendham, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 543-5656.
NPI number for Mrs Peggy Ilona Waller is 1821369562 and her current mailing address is 80 W Main St, Mendham, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821369562.
Healthcare Provider's Profile
| Full Name | Mrs Peggy Ilona Waller |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 80 W Main St, Mendham, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821369562
- Provider Enumeration Date: 01/25/2012
- Last Update Date: 01/25/2012
Medical Identifiers
Medical identifiers for Mrs Peggy Ilona Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821369562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00125500 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05457700 (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. Mrs Peggy Ilona Waller 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 |
|---|
Mrs Peggy Ilona Waller, LCSW, LCADC
80 W Main St,
Mendham, NJ 07945-1257
Ph: (973) 543-5656 | Mrs Peggy Ilona Waller, LCSW, LCADC
80 W Main St,
Mendham, NJ 07945-1257
Ph: (973) 543-5656 |
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