| Sondike Behavioral Connection Llc | |
|
4 Northwoods Rd Ocean NJ 07712-2514 | |
| (973) 479-4051 | |
| Not Available |
| Full Name | Sondike Behavioral Connection Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4 Northwoods Rd, Ocean, New Jersey |
| Authorized Official Name and Position | Gwyn Sondike (OWNER) |
| Authorized Official Contact | 9734794051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sondike Behavioral Connection Llc 4 Northwoods Rd Ocean NJ 07712-2514 Ph: (973) 479-4051 | Sondike Behavioral Connection Llc 4 Northwoods Rd Ocean NJ 07712-2514 Ph: (973) 479-4051 |
| NPI Number | 1497454821 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Medicare PECOS PAC ID | 6709244643 |
|---|---|
| Medicare Enrollment ID | O20230624000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497454821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gwyn A Sondike |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679901029 PECOS PAC ID: 3779854419 Enrollment ID: I20170731000398 |
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