| Alyssa Bressman Lcsw Llc | |
|
163 Engle St Ste 5 Englewood NJ 07631-2530 | |
| (917) 301-0490 | |
| Not Available |
| Full Name | Alyssa Bressman Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 163 Engle St Ste 5, Englewood, New Jersey |
| Authorized Official Name and Position | Alyssa Bressman (SOLE MBR) |
| Authorized Official Contact | 9173010490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Bressman Lcsw Llc 100 Carlyle Dr Apt 9ln Cliffside Park NJ 07010-3506 Ph: () - | Alyssa Bressman Lcsw Llc 163 Engle St Ste 5 Englewood NJ 07631-2530 Ph: (917) 301-0490 |
| NPI Number | 1477189595 |
|---|---|
| Provider Enumeration Date | 03/20/2020 |
| Last Update Date | 03/20/2020 |
| Certification Date | 03/20/2020 |
| Medicare PECOS PAC ID | 4385075035 |
|---|---|
| Medicare Enrollment ID | O20200512003631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477189595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alyssa Bressman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013434596 PECOS PAC ID: 4688008576 Enrollment ID: I20191231001633 |
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