| Maureen V Waters Lcsw Llc | |
|
145 Maple Ave Red Bank NJ 07701-1717 | |
| (732) 533-7845 | |
| Not Available |
| Full Name | Maureen V Waters Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 145 Maple Ave, Red Bank, New Jersey |
| Authorized Official Name and Position | Maureen V Waters (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7325337845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maureen V Waters Lcsw Llc 34 Harvard St Red Bank NJ 07701-5775 Ph: (732) 533-7845 | Maureen V Waters Lcsw Llc 145 Maple Ave Red Bank NJ 07701-1717 Ph: (732) 533-7845 |
| NPI Number | 1104488345 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 07/08/2019 |
| Medicare PECOS PAC ID | 8628305166 |
|---|---|
| Medicare Enrollment ID | O20190807001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104488345 | NPI | - | NPPES |
| 740485 | Other | NJ | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maureen Waters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134286263 PECOS PAC ID: 0446290506 Enrollment ID: I20050509000113 |
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