| Brooke Warley Lcsw Llc | |
|
76 Main St Ste 3 Matawan NJ 07747-2629 | |
| (908) 907-8047 | |
| Not Available |
| Full Name | Brooke Warley Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 76 Main St Ste 3, Matawan, New Jersey |
| Authorized Official Name and Position | Brooke Warley (OWNER) |
| Authorized Official Contact | 9088123373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Warley Lcsw Llc 23 Cymbeline Dr Old Bridge NJ 08857-2728 Ph: () - | Brooke Warley Lcsw Llc 76 Main St Ste 3 Matawan NJ 07747-2629 Ph: (908) 907-8047 |
| NPI Number | 1497487243 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 08/25/2024 |
| Certification Date | 08/25/2024 |
| Medicare PECOS PAC ID | 9133502966 |
|---|---|
| Medicare Enrollment ID | O20220811002374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497487243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brooke Warley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013549351 PECOS PAC ID: 3476980426 Enrollment ID: I20200303002716 |
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