| Y Lorraine Durrett Llc | |
|
6 Sycamore Dr Hazlet NJ 07730-1833 | |
| (732) 670-3999 | |
| Not Available |
| Full Name | Y Lorraine Durrett Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6 Sycamore Dr, Hazlet, New Jersey |
| Authorized Official Name and Position | Yvette Lorraine Durrett (OWNER) |
| Authorized Official Contact | 7326703999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Y Lorraine Durrett Llc 6 Sycamore Dr Hazlet NJ 07730-1833 Ph: (732) 670-3999 | Y Lorraine Durrett Llc 6 Sycamore Dr Hazlet NJ 07730-1833 Ph: (732) 670-3999 |
| NPI Number | 1235902123 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 4082052881 |
|---|---|
| Medicare Enrollment ID | O20240328003621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235902123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yvette Lorraine Durrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073631214 PECOS PAC ID: 2769645886 Enrollment ID: I20120529000357 |
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