| Creative Healing Psychotherapy Llc | |
|
1035 Hooper Ave Ste 2b Toms River NJ 08753-8355 | |
| (917) 731-0647 | |
| Not Available |
| Full Name | Creative Healing Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1035 Hooper Ave Ste 2b, Toms River, New Jersey |
| Authorized Official Name and Position | Angelica Adina Rauer (LCSW) |
| Authorized Official Contact | 9177310647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Healing Psychotherapy Llc 1035 Hooper Ave Ste 2b Toms River NJ 08753-8355 Ph: (917) 731-0647 | Creative Healing Psychotherapy Llc 1035 Hooper Ave Ste 2b Toms River NJ 08753-8355 Ph: (917) 731-0647 |
| NPI Number | 1346959186 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 01/23/2023 |
| Certification Date | 12/29/2022 |
| Medicare PECOS PAC ID | 8426429341 |
|---|---|
| Medicare Enrollment ID | O20230131002929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346959186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Angelica Adina Rauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700553922 PECOS PAC ID: 3971974890 Enrollment ID: I20230131003289 |
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