| Path Toward Recovery, Llc | |
|
16 Bayberry Way Swedesboro NJ 08085-3195 | |
| (732) 216-3959 | |
| Not Available |
| Full Name | Path Toward Recovery, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 16 Bayberry Way, Swedesboro, New Jersey |
| Authorized Official Name and Position | Jared Levine (OWNER) |
| Authorized Official Contact | 7322163959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Toward Recovery, Llc 16 Bayberry Way Swedesboro NJ 08085-3195 Ph: (732) 216-3959 | Path Toward Recovery, Llc 16 Bayberry Way Swedesboro NJ 08085-3195 Ph: (732) 216-3959 |
| NPI Number | 1538857834 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Medicare PECOS PAC ID | 8527423284 |
|---|---|
| Medicare Enrollment ID | O20230502001598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538857834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jared Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386039030 PECOS PAC ID: 6204147796 Enrollment ID: I20150625000118 |
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