| Elizabeth Hanifin Lcsw Llc | |
|
349 Franklin Ave Ste 206 Nutley NJ 07110-1645 | |
| (973) 768-2160 | |
| Not Available |
| Full Name | Elizabeth Hanifin Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 349 Franklin Ave Ste 206, Nutley, New Jersey |
| Authorized Official Name and Position | Elizabeth Hanifin (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9082321184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Hanifin Lcsw Llc 349 Franklin Ave Ste 206 Nutley NJ 07110-1645 Ph: () - | Elizabeth Hanifin Lcsw Llc 349 Franklin Ave Ste 206 Nutley NJ 07110-1645 Ph: (973) 768-2160 |
| NPI Number | 1336795160 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 08/16/2019 |
| Medicare PECOS PAC ID | 6204269459 |
|---|---|
| Medicare Enrollment ID | O20191203000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336795160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Hanifin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649318684 PECOS PAC ID: 5193158343 Enrollment ID: I20191203000762 |
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