| New Perspectives Nj Llc | |
|
55a E Ridgewood Ave Ste 6 Ridgewood NJ 07450-3884 | |
| (201) 669-4911 | |
| (201) 540-8104 |
| Full Name | New Perspectives Nj Llc |
|---|---|
| Speciality | Social Worker |
| Location | 55a E Ridgewood Ave Ste 6, Ridgewood, New Jersey |
| Authorized Official Name and Position | Christina Athanasatos (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2016694911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Perspectives Nj Llc 55a E Ridgewood Ave Ridgewood NJ 07450-3867 Ph: (201) 669-4911 | New Perspectives Nj Llc 55a E Ridgewood Ave Ste 6 Ridgewood NJ 07450-3884 Ph: (201) 669-4911 |
| NPI Number | 1205331865 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/27/2018 |
| Medicare PECOS PAC ID | 0840552824 |
|---|---|
| Medicare Enrollment ID | O20180403001856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205331865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05335900 (New Jersey) | Primary |
| Provider Name | Christina Athanasatos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093144495 PECOS PAC ID: 2466714449 Enrollment ID: I20180403002193 |
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