| Karen Ann Brook Lcsw | |
|
121 W Centennial Dr Medford NJ 08055-8136 | |
| (856) 596-6444 | |
| (856) 797-8512 |
| Full Name | Karen Ann Brook Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 121 W Centennial Dr, Medford, New Jersey |
| Authorized Official Name and Position | Karen Ann Brook (PRESIDENT) |
| Authorized Official Contact | 8565966444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Ann Brook Lcsw 121 W Centennial Dr Medford NJ 08055-8136 Ph: (856) 596-6444 | Karen Ann Brook Lcsw 121 W Centennial Dr Medford NJ 08055-8136 Ph: (856) 596-6444 |
| NPI Number | 1356680003 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 01/31/2013 |
| Medicare PECOS PAC ID | 3678727419 |
|---|---|
| Medicare Enrollment ID | O20130204000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356680003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Karen A Brook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013076132 PECOS PAC ID: 0547207425 Enrollment ID: I20050412001012 |
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