| Jacqueline Kim Szabo, Lcsw Llc | |
|
2185 Lemoine Ave Suite 1e Fort Lee NJ 07024-6036 | |
| (201) 983-9275 | |
| (201) 548-5047 |
| Full Name | Jacqueline Kim Szabo, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2185 Lemoine Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Jacqueline Szabo (OWNER) |
| Authorized Official Contact | 2019839275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Kim Szabo, Lcsw Llc 2185 Lemoine Ave Suite 1e Fort Lee NJ 07024-6036 Ph: (201) 983-9275 | Jacqueline Kim Szabo, Lcsw Llc 2185 Lemoine Ave Suite 1e Fort Lee NJ 07024-6036 Ph: (201) 983-9275 |
| NPI Number | 1093180911 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 12/23/2015 |
| Medicare PECOS PAC ID | 0244532596 |
|---|---|
| Medicare Enrollment ID | O20160105000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093180911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05384000 (New Jersey) | Primary |
| Provider Name | Jacqueline Szabo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346480704 PECOS PAC ID: 1153478870 Enrollment ID: I20090416000074 |
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