| Chosen To Change Llc | |
|
629 E Wood St Ste 306 Vineland NJ 08360-3731 | |
| (856) 265-6857 | |
| (866) 530-6081 |
| Full Name | Chosen To Change Llc |
|---|---|
| Speciality | Social Worker |
| Location | 629 E Wood St Ste 306, Vineland, New Jersey |
| Authorized Official Name and Position | Sheila Sharmaine Pierce-williams (CEO) |
| Authorized Official Contact | 8569821314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chosen To Change Llc 629 E Wood St Ste 306 Vineland NJ 08360-3731 Ph: (856) 265-6857 | Chosen To Change Llc 629 E Wood St Ste 306 Vineland NJ 08360-3731 Ph: (856) 265-6857 |
| NPI Number | 1659004216 |
|---|---|
| Provider Enumeration Date | 07/01/2022 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Medicare PECOS PAC ID | 7517341605 |
|---|---|
| Medicare Enrollment ID | O20220909000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659004216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sheila Pierce-williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346980331 PECOS PAC ID: 8426432519 Enrollment ID: I20220912003536 |
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