| Joyce Lopez & Associates Llc | |
|
60 Evergreen Pl Ste 408 East Orange NJ 07018-2106 | |
| (973) 673-6585 | |
| (973) 673-8888 |
| Full Name | Joyce Lopez & Associates Llc |
|---|---|
| Speciality | Social Worker |
| Location | 60 Evergreen Pl Ste 408, East Orange, New Jersey |
| Authorized Official Name and Position | Vernon Gatling (COO) |
| Authorized Official Contact | 9736736585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joyce Lopez & Associates Llc 60 Evergreen Pl Ste 408 East Orange NJ 07018-2106 Ph: (973) 673-6585 | Joyce Lopez & Associates Llc 60 Evergreen Pl Ste 408 East Orange NJ 07018-2106 Ph: (973) 673-6585 |
| NPI Number | 1194970103 |
|---|---|
| Provider Enumeration Date | 11/19/2008 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Medicare PECOS PAC ID | 7517022577 |
|---|---|
| Medicare Enrollment ID | O20090209000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194970103 | NPI | - | NPPES |
| 0256366 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC01484200 (New Jersey) | Primary |
| Provider Name | Trevor George Forbes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225109390 PECOS PAC ID: 5597754978 Enrollment ID: I20091023000667 |
| Provider Name | Lakeesha Eure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184070922 PECOS PAC ID: 3577967959 Enrollment ID: I20210806001539 |
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