| Doorways Outreach | |
|
47 Rowland Ave Clifton NJ 07012-1234 | |
| (727) 644-5755 | |
| Not Available |
| Full Name | Doorways Outreach |
|---|---|
| Speciality | Social Worker |
| Location | 47 Rowland Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Virginia Ann Meinke (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7276445755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doorways Outreach 47 Rowland Ave Clifton NJ 07012-1234 Ph: (727) 644-5755 | Doorways Outreach 47 Rowland Ave Clifton NJ 07012-1234 Ph: (727) 644-5755 |
| NPI Number | 1134667850 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Medicare PECOS PAC ID | 2668743113 |
|---|---|
| Medicare Enrollment ID | O20170802002207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134667850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | SW12472 (Florida) | Secondary |
| 104100000X | Social Worker | 44SC05695500 (New Jersey) | Primary |
| Provider Name | Virginia A Meinke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396132262 PECOS PAC ID: 5193030005 Enrollment ID: I20150820010839 |
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