| Burke And Unger Lifeworks Counseling Llc | |
|
562 Kingsland St Nutley NJ 07110-1069 | |
| (973) 441-0886 | |
| (973) 860-1326 |
| Full Name | Burke And Unger Lifeworks Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 562 Kingsland St, Nutley, New Jersey |
| Authorized Official Name and Position | Gina Unger (COFOUNDER) |
| Authorized Official Contact | 9739305507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burke And Unger Lifeworks Counseling Llc 562 Kingsland St Nutley NJ 07110-1069 Ph: (973) 441-0886 | Burke And Unger Lifeworks Counseling Llc 562 Kingsland St Nutley NJ 07110-1069 Ph: (973) 441-0886 |
| NPI Number | 1568755494 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 01/29/2013 |
| Medicare PECOS PAC ID | 3476716218 |
|---|---|
| Medicare Enrollment ID | O20120515000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568755494 | NPI | - | NPPES |
| 053835 | Other | NJ | MEDICARE PTAN |
| 053835YHEQ | Other | NJ | GROUP PTAN: |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00041300 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | 44SC05494400 (New Jersey) | Secondary |
| Provider Name | Gina M Unger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821147554 PECOS PAC ID: 8426096538 Enrollment ID: I20050420000132 |
| Provider Name | Ingrid E Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134353972 PECOS PAC ID: 5193988855 Enrollment ID: I20120517000389 |
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