Accepting Change, Llc | |
297 Kinderkamack Rd Ste 214 Oradell NJ 07649-1535 | |
(201) 370-5188 | |
Not Available |
Full Name | Accepting Change, Llc |
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Speciality | Social Worker |
Location | 297 Kinderkamack Rd Ste 214, Oradell, New Jersey |
Authorized Official Name and Position | Shirley Michele Thompson (LCSW) |
Authorized Official Contact | 2013705188 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Accepting Change, Llc 297 Kinderkamack Rd Ste 214 Oradell NJ 07649-1535 Ph: (201) 370-5188 | Accepting Change, Llc 297 Kinderkamack Rd Ste 214 Oradell NJ 07649-1535 Ph: (201) 370-5188 |
NPI Number | 1821516170 |
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Provider Enumeration Date | 09/07/2017 |
Last Update Date | 09/07/2017 |
Medicare PECOS PAC ID | 8224393814 |
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Medicare Enrollment ID | O20180601000100 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821516170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05518100 (New Jersey) | Primary |
Provider Name | Shirley Thompson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851636195 PECOS PAC ID: 1153633078 Enrollment ID: I20150707001860 |
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