Karen Lewis, Llc | |
416 Cedar Ln Fl 2 Teaneck NJ 07666-1709 | |
(201) 290-5550 | |
(201) 568-1786 |
Full Name | Karen Lewis, Llc |
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Speciality | Community/Behavioral Health |
Location | 416 Cedar Ln Fl 2, Teaneck, New Jersey |
Authorized Official Name and Position | Karen Lewis (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2012905550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Karen Lewis, Llc 416 Cedar Ln Fl 2 Teaneck NJ 07666-1709 Ph: (201) 290-5550 | Karen Lewis, Llc 416 Cedar Ln Fl 2 Teaneck NJ 07666-1709 Ph: (201) 290-5550 |
NPI Number | 1376973032 |
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Provider Enumeration Date | 11/17/2013 |
Last Update Date | 11/17/2013 |
Medicare PECOS PAC ID | 6608003231 |
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Medicare Enrollment ID | O20131205001380 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376973032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 44SC5502000 (New Jersey) | Primary |
Provider Name | Karen Lewis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518227198 PECOS PAC ID: 2769619303 Enrollment ID: I20131205001513 |
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