| Caroline Gojcz Licsw Llc | |
|
121 Chanlon Rd New Providence NJ 07974-1543 | |
| (401) 250-0079 | |
| Not Available |
| Full Name | Caroline Gojcz Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 121 Chanlon Rd, New Providence, New Jersey |
| Authorized Official Name and Position | Caroline Gojcz (CLINICIAN) |
| Authorized Official Contact | 4012500079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Gojcz Licsw Llc 396 Juniper St East Providence RI 02914-4972 Ph: (401) 250-0079 | Caroline Gojcz Licsw Llc 121 Chanlon Rd New Providence NJ 07974-1543 Ph: (401) 250-0079 |
| NPI Number | 1023701547 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Certification Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023701547 | NPI | - | NPPES |
| 120943-16-88-668-471 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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