| Jennifer Stefanik, Lcsw, Llc | |
|
0-55 34th St Fairlawn NJ 07410 | |
| (201) 686-0871 | |
| Not Available |
| Full Name | Jennifer Stefanik, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 0-55 34th St, Fairlawn, New Jersey |
| Authorized Official Name and Position | Jennifer Stefanik (OWNER) |
| Authorized Official Contact | 2016860871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Stefanik, Lcsw, Llc 0-55 34th St Fairlawn NJ 07410 Ph: (201) 686-0871 | Jennifer Stefanik, Lcsw, Llc 0-55 34th St Fairlawn NJ 07410 Ph: (201) 686-0871 |
| NPI Number | 1942894050 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/03/2021 |
| Certification Date | 03/03/2021 |
| Medicare PECOS PAC ID | 1153738174 |
|---|---|
| Medicare Enrollment ID | O20210318000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942894050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Stefanik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720680614 PECOS PAC ID: 3173930104 Enrollment ID: I20210318001457 |
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