| Positive Perceptions Counseling And Support Services, Inc | |
|
529 Seven Bridge Rd Unit 105 East Stroudsburg PA 18301-7608 | |
| (570) 424-1768 | |
| (888) 314-5032 |
| Full Name | Positive Perceptions Counseling And Support Services, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 529 Seven Bridge Rd Unit 105, East Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Nichelle Renee Jones (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5708394011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Perceptions Counseling And Support Services, Inc 387 Lake Rd Tobyhanna PA 18466-8038 Ph: (570) 839-4011 | Positive Perceptions Counseling And Support Services, Inc 529 Seven Bridge Rd Unit 105 East Stroudsburg PA 18301-7608 Ph: (570) 424-1768 |
| NPI Number | 1184849457 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 03/26/2023 |
| Certification Date | 03/26/2023 |
| Medicare PECOS PAC ID | 2163777368 |
|---|---|
| Medicare Enrollment ID | O20180612000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184849457 | NPI | - | NPPES |
| 1031161560002 | Medicaid | PA | |
| 101401517 0003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | CW015018 (Pennsylvania) | Secondary |
| Provider Name | Nichelle R Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003945700 PECOS PAC ID: 8921105008 Enrollment ID: I20070524000376 |
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