| Genevieve Shineman Lcsw Llc | |
|
114 S Euclid Ave Westfield NJ 07090-2130 | |
| (908) 451-2624 | |
| Not Available |
| Full Name | Genevieve Shineman Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 S Euclid Ave, Westfield, New Jersey |
| Authorized Official Name and Position | Genevieve Shineman (OWNER) |
| Authorized Official Contact | 9084512624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genevieve Shineman Lcsw Llc 114 S Euclid Ave Westfield NJ 07090-2130 Ph: (908) 451-2624 | Genevieve Shineman Lcsw Llc 114 S Euclid Ave Westfield NJ 07090-2130 Ph: (908) 451-2624 |
| NPI Number | 1932581816 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 06/26/2015 |
| Medicare PECOS PAC ID | 6406169184 |
|---|---|
| Medicare Enrollment ID | O20150723009461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932581816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Genevieve Weber Shineman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639326093 PECOS PAC ID: 5294998209 Enrollment ID: I20120531000122 |
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