| Open Arms Therapeutic Services Llc | |
|
445 Brick Blvd Ste 204 Brick NJ 08723-6079 | |
| (732) 600-9356 | |
| Not Available |
| Full Name | Open Arms Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 445 Brick Blvd Ste 204, Brick, New Jersey |
| Authorized Official Name and Position | Tony Vega (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7326009356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Arms Therapeutic Services Llc 445 Brick Blvd Ste 204 Brick NJ 08723-6079 Ph: (732) 600-9356 | Open Arms Therapeutic Services Llc 445 Brick Blvd Ste 204 Brick NJ 08723-6079 Ph: (732) 600-9356 |
| NPI Number | 1184283921 |
|---|---|
| Provider Enumeration Date | 06/06/2019 |
| Last Update Date | 06/06/2019 |
| Medicare PECOS PAC ID | 7113252131 |
|---|---|
| Medicare Enrollment ID | O20190715000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184283921 | NPI | - | NPPES |
| 942968 | Other | NJ | STATE OF NEW JERSEY STATE BOARD OF EXAMINERS |
| 44SC05738100 | Other | NJ | SOCIAL WORK EXAMINERS,LIC. CLINICAL SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| Provider Name | Tony F Vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245754365 PECOS PAC ID: 0840525861 Enrollment ID: I20190715000048 |
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