| Agape Abby Boxman Lcsw Llc | |
|
550 Kinderkamack Rd Ste 123 Oradell NJ 07649-1500 | |
| (917) 471-1087 | |
| Not Available |
| Full Name | Agape Abby Boxman Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 550 Kinderkamack Rd Ste 123, Oradell, New Jersey |
| Authorized Official Name and Position | Agape Abby Boxman (OWNER/SOLE MBR) |
| Authorized Official Contact | 9174711087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Abby Boxman Lcsw Llc 63 Stockton St Hillsdale NJ 07642-2322 Ph: (917) 471-1097 | Agape Abby Boxman Lcsw Llc 550 Kinderkamack Rd Ste 123 Oradell NJ 07649-1500 Ph: (917) 471-1087 |
| NPI Number | 1376396655 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 5597107375 |
|---|---|
| Medicare Enrollment ID | O20240524000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376396655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Agape Abby Boxman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841936192 PECOS PAC ID: 9133561913 Enrollment ID: I20240524000738 |
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