| Christian Bellissimo, Msw,lcsw, Rpt, Llc | |
|
179 Avenue At The Cmn Ste 103a Shrewsbury NJ 07702-4804 | |
| (732) 609-7272 | |
| Not Available |
| Full Name | Christian Bellissimo, Msw,lcsw, Rpt, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 179 Avenue At The Cmn Ste 103a, Shrewsbury, New Jersey |
| Authorized Official Name and Position | Christian Bellissimo (OWNER) |
| Authorized Official Contact | 7326097272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Bellissimo, Msw,lcsw, Rpt, Llc 179 Avenue At The Cmn Ste 103a Shrewsbury NJ 07702-4804 Ph: (732) 609-7272 | Christian Bellissimo, Msw,lcsw, Rpt, Llc 179 Avenue At The Cmn Ste 103a Shrewsbury NJ 07702-4804 Ph: (732) 609-7272 |
| NPI Number | 1184369977 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Medicare PECOS PAC ID | 8921487943 |
|---|---|
| Medicare Enrollment ID | O20220622002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184369977 | NPI | - | NPPES |
| 44SC04658900 | Other | NJ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christian Bellissimo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831486406 PECOS PAC ID: 0244619278 Enrollment ID: I20220622002840 |
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