Catherine Illenye, Lcsw Llc | |
1172 E Ridgewood Ave Ste 7 Ridgewood NJ 07450-3929 | |
(862) 345-7570 | |
Not Available |
Full Name | Catherine Illenye, Lcsw Llc |
---|---|
Speciality | Social Worker |
Location | 1172 E Ridgewood Ave Ste 7, Ridgewood, New Jersey |
Authorized Official Name and Position | Catherine Illenye (OWNER) |
Authorized Official Contact | 7325351426 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Catherine Illenye, Lcsw Llc 2237 Edward Stec Blvd Edison NJ 08837-7007 Ph: (732) 535-1426 | Catherine Illenye, Lcsw Llc 1172 E Ridgewood Ave Ste 7 Ridgewood NJ 07450-3929 Ph: (862) 345-7570 |
NPI Number | 1437766839 |
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Provider Enumeration Date | 09/29/2020 |
Last Update Date | 08/11/2023 |
Certification Date | 08/11/2023 |
Medicare PECOS PAC ID | 1951756360 |
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Medicare Enrollment ID | O20231004003022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437766839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Provider Name | Catherine Illenye |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811365224 PECOS PAC ID: 7810241817 Enrollment ID: I20181109001584 |
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