| Diane Stanley Lcsw Llc | |
|
20 Commerce Dr Ste 135 Cranford NJ 07016-3614 | |
| (908) 334-7206 | |
| (888) 974-1397 |
| Full Name | Diane Stanley Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Commerce Dr Ste 135, Cranford, New Jersey |
| Authorized Official Name and Position | Diane Stanley (OWNER) |
| Authorized Official Contact | 9083347206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Stanley Lcsw Llc 22 Trent Rd Monroe NJ 08831-1974 Ph: (908) 334-7206 | Diane Stanley Lcsw Llc 20 Commerce Dr Ste 135 Cranford NJ 07016-3614 Ph: (908) 334-7206 |
| NPI Number | 1407071673 |
|---|---|
| Provider Enumeration Date | 04/14/2007 |
| Last Update Date | 11/12/2019 |
| Medicare PECOS PAC ID | 3476885583 |
|---|---|
| Medicare Enrollment ID | O20191022003151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407071673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LCSW 44SC04782100 (New Jersey) | Primary |
| Provider Name | Diane Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609936939 PECOS PAC ID: 8022340116 Enrollment ID: I20191022002434 |
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