Liberty Human Services, Llc | |
985 Horsham Rd North Wales PA 19454-1410 | |
(267) 574-3900 | |
Not Available |
Full Name | Liberty Human Services, Llc |
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Speciality | Social Worker |
Location | 985 Horsham Rd, North Wales, Pennsylvania |
Authorized Official Name and Position | Pallavi Shinde (CEO) |
Authorized Official Contact | 2675752990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Liberty Human Services, Llc 985 Horsham Rd North Wales PA 19454-1410 Ph: (267) 574-3900 | Liberty Human Services, Llc 985 Horsham Rd North Wales PA 19454-1410 Ph: (267) 574-3900 |
NPI Number | 1164290482 |
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Provider Enumeration Date | 12/15/2023 |
Last Update Date | 12/15/2023 |
Certification Date | 12/15/2023 |
Medicare PECOS PAC ID | 6305296450 |
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Medicare Enrollment ID | O20240102001994 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164290482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Pallavi Shinde |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982902292 PECOS PAC ID: 5294185351 Enrollment ID: I20240104002976 |
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Jane Cooke,lcsw,acsw,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Main St, Suite 2a, North Wales, PA 19454 Phone: 215-280-7716 Fax: 215-996-0520 | |
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