| Elsa Enterprises Pc | |
|
307b Mitten Ln Mount Laurel NJ 08054-3173 | |
| (856) 296-2825 | |
| Not Available |
| Full Name | Elsa Enterprises Pc |
|---|---|
| Speciality | Social Worker |
| Location | 307b Mitten Ln, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Earnestine W Simpson (LICENSED CLINICAL SOCIAL WORKER/CEO) |
| Authorized Official Contact | 8562962825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elsa Enterprises Pc 307b Mitten Ln Mount Laurel NJ 08054-3173 Ph: (856) 296-2825 | Elsa Enterprises Pc 307b Mitten Ln Mount Laurel NJ 08054-3173 Ph: (856) 296-2825 |
| NPI Number | 1831573377 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/15/2015 |
| Medicare PECOS PAC ID | 9335416601 |
|---|---|
| Medicare Enrollment ID | O20170517002166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831573377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SCO4570800 (New Jersey) | Primary |
| Provider Name | Earnestine W Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124416771 PECOS PAC ID: 0547246845 Enrollment ID: I20040628000469 |
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