Molly Weigel, Lcsw, Llc | |
9 Gordon Ave Lawrenceville NJ 08648-1004 | |
(609) 333-6946 | |
Not Available |
Full Name | Molly Weigel, Lcsw, Llc |
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Speciality | Social Worker |
Location | 9 Gordon Ave, Lawrenceville, New Jersey |
Authorized Official Name and Position | Molly Weigel (SOLE PROPRIETOR) |
Authorized Official Contact | 6093336946 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Molly Weigel, Lcsw, Llc 9 Gordon Ave Lawrenceville NJ 08648-1004 Ph: (609) 333-6946 | Molly Weigel, Lcsw, Llc 9 Gordon Ave Lawrenceville NJ 08648-1004 Ph: (609) 333-6946 |
NPI Number | 1366995813 |
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Provider Enumeration Date | 08/02/2016 |
Last Update Date | 08/02/2016 |
Medicare PECOS PAC ID | 5890070106 |
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Medicare Enrollment ID | O20170329001937 |
Identifier | Type | State | Issuer |
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1366995813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 44SC05628400 (New Jersey) | Primary |
Provider Name | Marie Weigel |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629352596 PECOS PAC ID: 1658691985 Enrollment ID: I20150527002506 |
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