| Instrumental Change Llc | |
|
210 E Maple Ave D3 Merchantville NJ 08109-2615 | |
| (609) 313-4341 | |
| Not Available |
| Full Name | Instrumental Change Llc |
|---|---|
| Speciality | Social Worker |
| Location | 210 E Maple Ave, Merchantville, New Jersey |
| Authorized Official Name and Position | Colleen B Fitzpatrick (OWNER) |
| Authorized Official Contact | 6093134341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Instrumental Change Llc 210 E Maple Ave D3 Merchantville NJ 08109-2615 Ph: (609) 313-4341 | Instrumental Change Llc 210 E Maple Ave D3 Merchantville NJ 08109-2615 Ph: (609) 313-4341 |
| NPI Number | 1700169687 |
|---|---|
| Provider Enumeration Date | 09/27/2011 |
| Last Update Date | 09/27/2011 |
| Medicare PECOS PAC ID | 5193999233 |
|---|---|
| Medicare Enrollment ID | O20111129000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700169687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Colleen Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073786497 PECOS PAC ID: 5193803682 Enrollment ID: I20080424000161 |
Children's Continuum Of Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 177 S Centre St, Suite B, Merchantville, NJ 08109 Phone: 856-661-1100 Fax: 856-661-0910 | |
Katherine Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Saint James Ave, Merchantville, NJ 08109 Phone: 512-789-4511 | |
Craig Nussbaum Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Ivins Ave, Merchantville, NJ 08109 Phone: 609-605-2847 | |
Wellspring Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18c S Centre St, Merchantville, NJ 08109 Phone: 856-662-1660 Fax: 856-662-6110 | |
Joyful Living Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 E Chestnut Ave, Merchantville, NJ 08109 Phone: 856-296-9323 Fax: 856-317-9059 | |
Merchantville Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 W Maple Ave, Merchantville, NJ 08109 Phone: 856-661-0324 |