| Inner Clarity Llc | |
|
22 Village Ct Hazlet NJ 07730-1532 | |
| (732) 639-0232 | |
| (732) 344-6165 |
| Full Name | Inner Clarity Llc |
|---|---|
| Speciality | Social Worker |
| Location | 22 Village Ct, Hazlet, New Jersey |
| Authorized Official Name and Position | Robyn Derespinis (OWNER) |
| Authorized Official Contact | 8564237700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Clarity Llc 175 W Cohawkin Rd Ste C Clarksboro NJ 08020-1145 Ph: (856) 423-7700 | Inner Clarity Llc 22 Village Ct Hazlet NJ 07730-1532 Ph: (732) 639-0232 |
| NPI Number | 1639684103 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 9638431257 |
|---|---|
| Medicare Enrollment ID | O20180320000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639684103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robyn F Derespinis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700111051 PECOS PAC ID: 6103953237 Enrollment ID: I20100422000181 |
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