| Liz Walter Lcsw Llc | |
|
200 Maple Ave Ste 100 Red Bank NJ 07701-1732 | |
| (732) 784-8704 | |
| Not Available |
| Full Name | Liz Walter Lcsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 200 Maple Ave Ste 100, Red Bank, New Jersey |
| Authorized Official Name and Position | Elizabeth D Walter (OWNER) |
| Authorized Official Contact | 7325393571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liz Walter Lcsw Llc 200 Maple Ave Ste 100 Red Bank NJ 07701-1732 Ph: (732) 784-8704 | Liz Walter Lcsw Llc 200 Maple Ave Ste 100 Red Bank NJ 07701-1732 Ph: (732) 784-8704 |
| NPI Number | 1558830588 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 11/20/2018 |
| Medicare PECOS PAC ID | 6800133695 |
|---|---|
| Medicare Enrollment ID | O20190201001327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558830588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth D Walter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750864690 PECOS PAC ID: 8426395229 Enrollment ID: I20190201001510 |
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