| In Solidarity Counseling Practice, Llc | |
|
17 Hawthorne Ave Ewing NJ 08638-2823 | |
| (609) 672-6668 | |
| Not Available |
| Full Name | In Solidarity Counseling Practice, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17 Hawthorne Ave, Ewing, New Jersey |
| Authorized Official Name and Position | Marcia K Mackillop (OWNER/THERAPIST) |
| Authorized Official Contact | 6096726668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Solidarity Counseling Practice, Llc 17 Hawthorne Ave Ewing NJ 08638-2823 Ph: (609) 672-6668 | In Solidarity Counseling Practice, Llc 17 Hawthorne Ave Ewing NJ 08638-2823 Ph: (609) 672-6668 |
| NPI Number | 1902585482 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 07/14/2023 |
| Medicare PECOS PAC ID | 4880041789 |
|---|---|
| Medicare Enrollment ID | O20231115000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902585482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marcia K Mackillop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992044135 PECOS PAC ID: 7618122524 Enrollment ID: I20130226000482 |
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