Strong At The Core Llc | |
60 Pacer Ln Freehold NJ 07728-4665 | |
(908) 415-1553 | |
Not Available |
Full Name | Strong At The Core Llc |
---|---|
Speciality | Social Worker |
Location | 60 Pacer Ln, Freehold, New Jersey |
Authorized Official Name and Position | Toniann Teixeira (MEMBER) |
Authorized Official Contact | 9084151553 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Strong At The Core Llc 60 Pacer Ln Freehold NJ 07728-4665 Ph: (908) 415-1553 | Strong At The Core Llc 60 Pacer Ln Freehold NJ 07728-4665 Ph: (908) 415-1553 |
NPI Number | 1427508563 |
---|---|
Provider Enumeration Date | 10/13/2016 |
Last Update Date | 08/03/2022 |
Certification Date | 08/03/2022 |
Medicare PECOS PAC ID | 1355629494 |
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Medicare Enrollment ID | O20161025001809 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427508563 | NPI | - | NPPES |
1265830905 | Other | NJ | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05547800 (New Jersey) | Primary |
Provider Name | Toniann Teixeira |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265830905 PECOS PAC ID: 0446575054 Enrollment ID: I20150202001074 |
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