| Equality Mental Health. Llc | |
|
852 Kinderkamack Road 2nd Floor River Edge NJ 07661-2324 | |
| (201) 885-3522 | |
| Not Available |
| Full Name | Equality Mental Health. Llc |
|---|---|
| Speciality | Social Worker |
| Location | 852 Kinderkamack Road, River Edge, New Jersey |
| Authorized Official Name and Position | Howard Craig Cutler (OWNER/PRINCIPAL) |
| Authorized Official Contact | 2018853522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equality Mental Health. Llc 852 Kinderkamack Road 2nd Floor River Edge NJ 07661-2324 Ph: (201) 885-3522 | Equality Mental Health. Llc 852 Kinderkamack Road 2nd Floor River Edge NJ 07661-2324 Ph: (201) 885-3522 |
| NPI Number | 1558933028 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Medicare PECOS PAC ID | 6507258019 |
|---|---|
| Medicare Enrollment ID | O20220113000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558933028 | NPI | - | NPPES |
| 0754757 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Howard C Cutler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710081146 PECOS PAC ID: 5193790848 Enrollment ID: I20040827000121 |
| Provider Name | Jessica Lynn Glass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861949752 PECOS PAC ID: 6406206671 Enrollment ID: I20231229002463 |
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