| Jean Brady, Lcsw, P.a. | |
|
100 Biddle Ave Ste 123 Newark DE 19702-3982 | |
| (302) 669-9252 | |
| Not Available |
| Full Name | Jean Brady, Lcsw, P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 100 Biddle Ave Ste 123, Newark, Delaware |
| Authorized Official Name and Position | Jean Walker Brady (OWNER) |
| Authorized Official Contact | 3026699252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Brady, Lcsw, P.a. 100 Biddle Ave Ste 123 Newark DE 19702-3982 Ph: (302) 669-9252 | Jean Brady, Lcsw, P.a. 100 Biddle Ave Ste 123 Newark DE 19702-3982 Ph: (302) 669-9252 |
| NPI Number | 1851057509 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Certification Date | 11/16/2021 |
| Medicare PECOS PAC ID | 6709279748 |
|---|---|
| Medicare Enrollment ID | O20220215001395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851057509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jean W Brady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528496890 PECOS PAC ID: 5496030777 Enrollment ID: I20170329000780 |
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