| Generations Counseling & Care Management Llc | |
|
336 W Passaic St 2nd Floor Rochelle Park NJ 07662-3027 | |
| (201) 845-7030 | |
| (201) 845-0899 |
| Full Name | Generations Counseling & Care Management Llc |
|---|---|
| Speciality | Counselor |
| Location | 336 W Passaic St, Rochelle Park, New Jersey |
| Authorized Official Name and Position | Vicki S Doueck (PRESIDENT/CEO) |
| Authorized Official Contact | 2018457030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Counseling & Care Management Llc 336 W Passaic St 2nd Floor Rochelle Park NJ 07662-3027 Ph: (201) 845-7030 | Generations Counseling & Care Management Llc 336 W Passaic St 2nd Floor Rochelle Park NJ 07662-3027 Ph: (201) 845-7030 |
| NPI Number | 1437109311 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 03/20/2013 |
| Medicare PECOS PAC ID | 6608863105 |
|---|---|
| Medicare Enrollment ID | O20040707001292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437109311 | NPI | - | NPPES |
| 0039730 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Norma S Mccobin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811929565 PECOS PAC ID: 9234192873 Enrollment ID: I20041105000018 |
| Provider Name | Aaron Welt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043368129 PECOS PAC ID: 0244278000 Enrollment ID: I20050421000792 |
| Provider Name | Susan E Breithaupt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720172935 PECOS PAC ID: 2769421387 Enrollment ID: I20050503000241 |
| Provider Name | Janet I Pincu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275578676 PECOS PAC ID: 3779523295 Enrollment ID: I20050504000633 |
| Provider Name | Traci M Zuckerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306110705 PECOS PAC ID: 3375704950 Enrollment ID: I20120406000273 |
| Provider Name | Catherine Cusack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295289965 PECOS PAC ID: 3274814538 Enrollment ID: I20161228000107 |
| Provider Name | Bonnie J Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649910084 PECOS PAC ID: 1759777915 Enrollment ID: I20220415000819 |
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