| Madeline J. Podskoc,llc | |
|
131 W High St Somerville NJ 08876-2108 | |
| (732) 356-1707 | |
| Not Available |
| Full Name | Madeline J. Podskoc,llc |
|---|---|
| Speciality | Counselor |
| Location | 131 W High St, Somerville, New Jersey |
| Authorized Official Name and Position | Madeline J. Podskoc (MEMBER) |
| Authorized Official Contact | 7323561707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline J. Podskoc,llc 21 Emerald Pl Somerset NJ 08873-4137 Ph: (732) 356-2683 | Madeline J. Podskoc,llc 131 W High St Somerville NJ 08876-2108 Ph: (732) 356-1707 |
| NPI Number | 1376605931 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7719989524 |
|---|---|
| Medicare Enrollment ID | O20070207000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376605931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 44SC00445300 (New Jersey) | Primary |
| Provider Name | Madeline J Podskoc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811942386 PECOS PAC ID: 4183626997 Enrollment ID: I20070207000626 |
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