| Cheryl Schrader, Llc | |
|
257 Crescent Ave Wyckoff NJ 07481-2807 | |
| (201) 470-2517 | |
| Not Available |
| Full Name | Cheryl Schrader, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 257 Crescent Ave, Wyckoff, New Jersey |
| Authorized Official Name and Position | Cheryl M Schrader (OWNER) |
| Authorized Official Contact | 2014702517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Schrader, Llc 257 Crescent Ave Wyckoff NJ 07481-2807 Ph: (201) 470-2517 | Cheryl Schrader, Llc 257 Crescent Ave Wyckoff NJ 07481-2807 Ph: (201) 470-2517 |
| NPI Number | 1851925937 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 3678913613 |
|---|---|
| Medicare Enrollment ID | O20240424003004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851925937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cheryl M Schrader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306217336 PECOS PAC ID: 2365781663 Enrollment ID: I20190305000168 |
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