| Caren E Grande Llc | |
|
1385 Highway 35 Ste 274 Middletown NJ 07748-2012 | |
| (480) 381-2233 | |
| Not Available |
| Full Name | Caren E Grande Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1385 Highway 35 Ste 274, Middletown, New Jersey |
| Authorized Official Name and Position | Caren E Grande (OWNER) |
| Authorized Official Contact | 7327786468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caren E Grande Llc 1385 Highway 35 Ste 274 Middletown NJ 07748-2012 Ph: (732) 778-6468 | Caren E Grande Llc 1385 Highway 35 Ste 274 Middletown NJ 07748-2012 Ph: (480) 381-2233 |
| NPI Number | 1275809659 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 11/12/2021 |
| Certification Date | 10/26/2021 |
| Medicare PECOS PAC ID | 6709107642 |
|---|---|
| Medicare Enrollment ID | O20150604000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275809659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04683500NJ (New Jersey) | Primary |
| Provider Name | Caren E Grande |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215067764 PECOS PAC ID: 8022057223 Enrollment ID: I20050427000761 |
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