| Marj Swain Bernstein Lcsw Llc | |
|
45 N Broad St Ste 100 Ridgewood NJ 07450-3857 | |
| (201) 446-8225 | |
| Not Available |
| Full Name | Marj Swain Bernstein Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 45 N Broad St Ste 100, Ridgewood, New Jersey |
| Authorized Official Name and Position | Marjorie Swain Bernstein (OWNER) |
| Authorized Official Contact | 2014468225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marj Swain Bernstein Lcsw Llc 45 N Broad St Ste 100 Ridgewood NJ 07450-3857 Ph: (201) 446-8225 | Marj Swain Bernstein Lcsw Llc 45 N Broad St Ste 100 Ridgewood NJ 07450-3857 Ph: (201) 446-8225 |
| NPI Number | 1306102173 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 06/06/2022 |
| Certification Date | 06/06/2022 |
| Medicare PECOS PAC ID | 3870755242 |
|---|---|
| Medicare Enrollment ID | O20120501000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306102173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05199800 (New Jersey) | Primary |
| Provider Name | Marjorie S Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639229966 PECOS PAC ID: 4789846155 Enrollment ID: I20120501000330 |
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