| Lauri Obrien Lcsw Llc | |
|
37 Kings Rd Madison NJ 07940-2500 | |
| (973) 255-0192 | |
| Not Available |
| Full Name | Lauri Obrien Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 37 Kings Rd, Madison, New Jersey |
| Authorized Official Name and Position | Lauri Obrien (PROVIDER) |
| Authorized Official Contact | 9732550192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauri Obrien Lcsw Llc 39 Knollwood Ave Madison NJ 07940-1743 Ph: (973) 255-0192 | Lauri Obrien Lcsw Llc 37 Kings Rd Madison NJ 07940-2500 Ph: (973) 255-0192 |
| NPI Number | 1609595164 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Medicare PECOS PAC ID | 2860868734 |
|---|---|
| Medicare Enrollment ID | O20221018000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609595164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauriann O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871266536 PECOS PAC ID: 8628474038 Enrollment ID: I20210910001060 |
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