| Stephens Mental Wellness Psychotherapy | |
|
88 Mountain Ave North Caldwell NJ 07006-3921 | |
| (973) 223-6219 | |
| Not Available |
| Full Name | Stephens Mental Wellness Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 88 Mountain Ave, North Caldwell, New Jersey |
| Authorized Official Name and Position | Rosetta Stephens (OWNER) |
| Authorized Official Contact | 9732236219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephens Mental Wellness Psychotherapy 88 Mountain Ave North Caldwell NJ 07006-3921 Ph: () - | Stephens Mental Wellness Psychotherapy 88 Mountain Ave North Caldwell NJ 07006-3921 Ph: (973) 223-6219 |
| NPI Number | 1497377915 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 05/07/2020 |
| Certification Date | 05/07/2020 |
| Medicare PECOS PAC ID | 3577984400 |
|---|---|
| Medicare Enrollment ID | O20200602001317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497377915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rosetta Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821640723 PECOS PAC ID: 2961733795 Enrollment ID: I20191009002238 |
Caldwell Counseling And Consultancy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Highfield Ter, North Caldwell, NJ 07006 Phone: 973-420-1456 |