| Ann Wallace Frick | |
|
603 Woodfield Rd Wyckoff NJ 07481-1422 | |
| (973) 220-4125 | |
| Not Available |
| Full Name | Ann Wallace Frick |
|---|---|
| Speciality | Social Worker |
| Location | 603 Woodfield Rd, Wyckoff, New Jersey |
| Authorized Official Name and Position | Ann Wallace Frick (SOCIAL WORKER) |
| Authorized Official Contact | 9732204125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Wallace Frick 603 Woodfield Rd Wyckoff NJ 07481-1422 Ph: (973) 220-4125 | Ann Wallace Frick 603 Woodfield Rd Wyckoff NJ 07481-1422 Ph: (973) 220-4125 |
| NPI Number | 1235776907 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Medicare PECOS PAC ID | 3779910484 |
|---|---|
| Medicare Enrollment ID | O20200219000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235776907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ann Wallace-frick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669922514 PECOS PAC ID: 4981982436 Enrollment ID: I20161103001196 |
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