| Rochelle Glatter Lcsw, Llc | |
|
120 County Rd Tenafly NJ 07670-1854 | |
| (917) 549-4455 | |
| Not Available |
| Full Name | Rochelle Glatter Lcsw, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 County Rd, Tenafly, New Jersey |
| Authorized Official Name and Position | Rochelle Lee Glatter (OWNER) |
| Authorized Official Contact | 9175494455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochelle Glatter Lcsw, Llc 312 Churchill Rd Teaneck NJ 07666-3007 Ph: (917) 549-4455 | Rochelle Glatter Lcsw, Llc 120 County Rd Tenafly NJ 07670-1854 Ph: (917) 549-4455 |
| NPI Number | 1629672480 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Medicare PECOS PAC ID | 2062823073 |
|---|---|
| Medicare Enrollment ID | O20201124000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629672480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rochelle L Glatter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609383025 PECOS PAC ID: 1456763887 Enrollment ID: I20201209001027 |
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