| Sage Psychotherapy Services | |
|
200 Woodport Rd Unit B Sparta NJ 07871-2628 | |
| (973) 726-3772 | |
| (973) 726-3775 |
| Full Name | Sage Psychotherapy Services |
|---|---|
| Speciality | Social Worker |
| Location | 200 Woodport Rd, Sparta, New Jersey |
| Authorized Official Name and Position | Janine Maris (OWNER) |
| Authorized Official Contact | 9737263772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Psychotherapy Services 200 Woodport Rd Unit B Sparta NJ 07871-2628 Ph: (973) 726-3772 | Sage Psychotherapy Services 200 Woodport Rd Unit B Sparta NJ 07871-2628 Ph: (973) 726-3772 |
| NPI Number | 1669880878 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 04/16/2015 |
| Medicare PECOS PAC ID | 2769701507 |
|---|---|
| Medicare Enrollment ID | O20150429001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669880878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05214800 (New Jersey) | Primary |
| Provider Name | Janine Maris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063680205 PECOS PAC ID: 4284798109 Enrollment ID: I20090121000452 |
| Provider Name | Rita Lawler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083873319 PECOS PAC ID: 5991854127 Enrollment ID: I20090519000335 |
| Provider Name | Gail Roffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477177368 PECOS PAC ID: 5698199388 Enrollment ID: I20200728002816 |
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