Prism Counseling And Consulting | |
36 Park St Montclair NJ 07042-3440 | |
(973) 355-7115 | |
Not Available |
Full Name | Prism Counseling And Consulting |
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Speciality | Social Worker |
Location | 36 Park St, Montclair, New Jersey |
Authorized Official Name and Position | Shae Cali (OWNER/THERAPIST) |
Authorized Official Contact | 9733557115 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Prism Counseling And Consulting 36 Park St Montclair NJ 07042-3440 Ph: (973) 355-7115 | Prism Counseling And Consulting 36 Park St Montclair NJ 07042-3440 Ph: (973) 355-7115 |
NPI Number | 1285135012 |
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Provider Enumeration Date | 02/27/2018 |
Last Update Date | 08/11/2023 |
Certification Date | 08/11/2023 |
Medicare PECOS PAC ID | 5294098570 |
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Medicare Enrollment ID | O20180419001505 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285135012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05770400 (New Jersey) | Primary |
Provider Name | Shae A Cali |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912412123 PECOS PAC ID: 6103189485 Enrollment ID: I20180426002395 |
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