| Rachel Pollack, Lcsw Llc | |
|
217 Howard Ave Passaic NJ 07055-4511 | |
| (973) 985-8462 | |
| Not Available |
| Full Name | Rachel Pollack, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 217 Howard Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Jennifer R Pollack (DIRECTOR) |
| Authorized Official Contact | 9739858462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Pollack, Lcsw Llc 217 Howard Ave Passaic NJ 07055-4511 Ph: (973) 985-8462 | Rachel Pollack, Lcsw Llc 217 Howard Ave Passaic NJ 07055-4511 Ph: (973) 985-8462 |
| NPI Number | 1902561137 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Medicare PECOS PAC ID | 8820488851 |
|---|---|
| Medicare Enrollment ID | O20211207001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902561137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer R Pollack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083201859 PECOS PAC ID: 4284049016 Enrollment ID: I20210209000682 |
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