| Therapy Services Of New Jersey, Llc | |
|
363 Centre St Ste 2 Nutley NJ 07110-4706 | |
| (973) 287-9800 | |
| Not Available |
| Full Name | Therapy Services Of New Jersey, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 363 Centre St Ste 2, Nutley, New Jersey |
| Authorized Official Name and Position | Jennifer Sampson (THERAPIST) |
| Authorized Official Contact | 9732879800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Services Of New Jersey, Llc 6 Pennington Ct Passaic NJ 07055-3408 Ph: () - | Therapy Services Of New Jersey, Llc 363 Centre St Ste 2 Nutley NJ 07110-4706 Ph: (973) 287-9800 |
| NPI Number | 1417314006 |
|---|---|
| Provider Enumeration Date | 01/27/2016 |
| Last Update Date | 03/11/2016 |
| Medicare PECOS PAC ID | 4688970999 |
|---|---|
| Medicare Enrollment ID | O20160314000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417314006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Sampson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013216233 PECOS PAC ID: 0749586055 Enrollment ID: I20160314000971 |
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