Mind Mechanix Llc | |
556 S Dupont Blvd Ste I Milford DE 19963-1706 | |
(302) 503-5142 | |
(302) 725-5942 |
Full Name | Mind Mechanix Llc |
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Speciality | Social Worker |
Location | 556 S Dupont Blvd Ste I, Milford, Delaware |
Authorized Official Name and Position | Justin Scott Linefsky (CEO/CLINICAL DIRECTOR) |
Authorized Official Contact | 3023131288 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mind Mechanix Llc 583 W Birdie Ln Magnolia DE 19962-3116 Ph: (302) 313-1288 | Mind Mechanix Llc 556 S Dupont Blvd Ste I Milford DE 19963-1706 Ph: (302) 503-5142 |
NPI Number | 1962909499 |
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Provider Enumeration Date | 04/11/2018 |
Last Update Date | 07/03/2024 |
Certification Date | 07/03/2024 |
Medicare PECOS PAC ID | 4587910013 |
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Medicare Enrollment ID | O20180712003533 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962909499 | NPI | - | NPPES |
Provider Name | Justin Scott Linefsky |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205160405 PECOS PAC ID: 3577870443 Enrollment ID: I20150910000975 |
Provider Name | Kathleen Elizabeth Risko |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659517928 PECOS PAC ID: 7214311877 Enrollment ID: I20220831000030 |
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