| Ccc Counseling Inc | |
|
1212 Todd Ct Lakewood NJ 08701-2256 | |
| (609) 225-9355 | |
| Not Available |
| Full Name | Ccc Counseling Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1212 Todd Ct, Lakewood, New Jersey |
| Authorized Official Name and Position | Jediedjah Moshe Rodrigues Pereira (OWNER) |
| Authorized Official Contact | 7328144648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccc Counseling Inc 1212 Todd Ct Lakewood NJ 08701-2256 Ph: (732) 814-4648 | Ccc Counseling Inc 1212 Todd Ct Lakewood NJ 08701-2256 Ph: (609) 225-9355 |
| NPI Number | 1366848582 |
|---|---|
| Provider Enumeration Date | 11/16/2014 |
| Last Update Date | 02/26/2023 |
| Certification Date | 01/31/2023 |
| Medicare PECOS PAC ID | 3870999493 |
|---|---|
| Medicare Enrollment ID | O20210908000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366848582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Secondary |
| Provider Name | Joanne Cahill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871810333 PECOS PAC ID: 5092986638 Enrollment ID: I20110912000616 |
| Provider Name | Gabriella G Landman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750641643 PECOS PAC ID: 1153749098 Enrollment ID: I20200909003202 |
| Provider Name | Jamie L Basile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043712573 PECOS PAC ID: 3678991544 Enrollment ID: I20200910000419 |
| Provider Name | Nicholas J Lacorte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134556582 PECOS PAC ID: 1759700883 Enrollment ID: I20200923001267 |
| Provider Name | Catherine Ottaviano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871129452 PECOS PAC ID: 8123447927 Enrollment ID: I20200929000178 |
| Provider Name | Beth D Wray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619330644 PECOS PAC ID: 3274952080 Enrollment ID: I20200929000307 |
| Provider Name | Joanne R Laush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447928239 PECOS PAC ID: 9436557964 Enrollment ID: I20211013001418 |
| Provider Name | Dina R Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801430194 PECOS PAC ID: 7214321645 Enrollment ID: I20220301002697 |
| Provider Name | Rebecca A Sears |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578008181 PECOS PAC ID: 6103209986 Enrollment ID: I20220811000210 |
| Provider Name | Nancy D Wetmore |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245320514 PECOS PAC ID: 4789029919 Enrollment ID: I20240228000451 |
| Provider Name | Arlene K Licata |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285820423 PECOS PAC ID: 8426496530 Enrollment ID: I20240409003130 |
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