| Jill Essery, Lcsw Llc | |
|
46 N Central Ave # C-3 Ramsey NJ 07446-1864 | |
| (917) 575-2272 | |
| Not Available |
| Full Name | Jill Essery, Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 46 N Central Ave # C-3, Ramsey, New Jersey |
| Authorized Official Name and Position | Jill Essery (OWNER) |
| Authorized Official Contact | 9175752272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Essery, Lcsw Llc 46 N Central Ave # C-3 Ramsey NJ 07446-1864 Ph: (917) 575-2272 | Jill Essery, Lcsw Llc 46 N Central Ave # C-3 Ramsey NJ 07446-1864 Ph: (917) 575-2272 |
| NPI Number | 1629607981 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 04/07/2020 |
| Certification Date | 04/07/2020 |
| Medicare PECOS PAC ID | 5991134132 |
|---|---|
| Medicare Enrollment ID | O20200409000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629607981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jill Essery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154750271 PECOS PAC ID: 5193002632 Enrollment ID: I20170510000557 |
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