| Kristina Pilgrim Lcsw Llc | |
|
103 Maple Ave Ste 202 Red Bank NJ 07701-1715 | |
| (908) 415-6941 | |
| Not Available |
| Full Name | Kristina Pilgrim Lcsw Llc |
|---|---|
| Speciality | Counselor |
| Location | 103 Maple Ave Ste 202, Red Bank, New Jersey |
| Authorized Official Name and Position | Kristina E Pilgrim (THERAPIST) |
| Authorized Official Contact | 9084156941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Pilgrim Lcsw Llc 215 Pine St Union Beach NJ 07735-2842 Ph: (908) 415-6941 | Kristina Pilgrim Lcsw Llc 103 Maple Ave Ste 202 Red Bank NJ 07701-1715 Ph: (908) 415-6941 |
| NPI Number | 1235832593 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Medicare PECOS PAC ID | 3678939865 |
|---|---|
| Medicare Enrollment ID | O20230512001854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235832593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kristina E Pilgrim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578800942 PECOS PAC ID: 4587020771 Enrollment ID: I20230512001954 |
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