| Bill Powell, Msw, Pa | |
|
2130 Millburn Avenue Suite D1 Maplewood NJ 07040 | |
| (973) 763-2143 | |
| (973) 763-8243 |
| Full Name | Bill Powell, Msw, Pa |
|---|---|
| Speciality | Social Worker |
| Location | 2130 Millburn Avenue, Maplewood, New Jersey |
| Authorized Official Name and Position | Bill Powell (PROVIDER) |
| Authorized Official Contact | 9737638123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Powell, Msw, Pa 2130 Millburn Avenue Suite D1 Maplewood NJ 07040 Ph: (973) 763-2143 | Bill Powell, Msw, Pa 2130 Millburn Avenue Suite D1 Maplewood NJ 07040 Ph: (973) 763-2143 |
| NPI Number | 1265678171 |
|---|---|
| Provider Enumeration Date | 12/23/2008 |
| Last Update Date | 06/24/2009 |
| Medicare PECOS PAC ID | 8527072461 |
|---|---|
| Medicare Enrollment ID | O20090604000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265678171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | SC12965 (New Jersey) | Primary |
| Provider Name | William M Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922158146 PECOS PAC ID: 1951315209 Enrollment ID: I20060126000134 |
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