| Divine Relevance Llc | |
|
55 Merritt Blvd Ste 138 Trumbull CT 06611-5435 | |
| (203) 600-1417 | |
| Not Available |
| Full Name | Divine Relevance Llc |
|---|---|
| Speciality | Social Worker |
| Location | 55 Merritt Blvd Ste 138, Trumbull, Connecticut |
| Authorized Official Name and Position | Nedjine Marcel (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2036001417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Relevance Llc 55 Merritt Blvd Ste 138 Trumbull CT 06611-5435 Ph: (203) 600-1417 | Divine Relevance Llc 55 Merritt Blvd Ste 138 Trumbull CT 06611-5435 Ph: (203) 600-1417 |
| NPI Number | 1700669389 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 7618322421 |
|---|---|
| Medicare Enrollment ID | O20231016000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700669389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nedjine Marcel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124746961 PECOS PAC ID: 8527413335 Enrollment ID: I20231016000346 |
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