| Gretel J Lavieri, Lcsw Llc | |
|
107 Darrow Dr Pennington NJ 08534-1809 | |
| (609) 433-6417 | |
| Not Available |
| Full Name | Gretel J Lavieri, Lcsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 107 Darrow Dr, Pennington, New Jersey |
| Authorized Official Name and Position | Gretel J Lavieri (OWNER) |
| Authorized Official Contact | 6094336417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gretel J Lavieri, Lcsw Llc 107 Darrow Dr Pennington NJ 08534-1809 Ph: (609) 433-6417 | Gretel J Lavieri, Lcsw Llc 107 Darrow Dr Pennington NJ 08534-1809 Ph: (609) 433-6417 |
| NPI Number | 1376081760 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 02/06/2017 |
| Medicare PECOS PAC ID | 5698050441 |
|---|---|
| Medicare Enrollment ID | O20170320000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376081760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05196200 (New Jersey) | Primary |
| Provider Name | Gretel J Lavieri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861936437 PECOS PAC ID: 6305829227 Enrollment ID: I20040611000145 |
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