Talk It Out Llc | |
3422 Upper Street Honolulu HI 96815-4337 | |
(808) 651-6278 | |
(808) 356-0634 |
Full Name | Talk It Out Llc |
---|---|
Speciality | Social Worker |
Location | 3422 Upper Street, Honolulu, Hawaii |
Authorized Official Name and Position | Miriam Goldberg (OWNER) |
Authorized Official Contact | 8086516278 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Talk It Out Llc 3422 Upper Street Honolulu HI 96815-4337 Ph: (808) 651-6278 | Talk It Out Llc 3422 Upper Street Honolulu HI 96815-4337 Ph: (808) 651-6278 |
NPI Number | 1932625902 |
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Provider Enumeration Date | 08/21/2017 |
Last Update Date | 08/18/2020 |
Certification Date | 08/18/2020 |
Medicare PECOS PAC ID | 3779840301 |
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Medicare Enrollment ID | O20171206001850 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932625902 | NPI | - | NPPES |
818388 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4035 (Hawaii) | Primary |
Provider Name | Miriam Goldberg |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689082117 PECOS PAC ID: 7810261948 Enrollment ID: I20170927003847 |
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