| Amy Forsell Llc | |
|
161 S Main St Milltown NJ 08850-1800 | |
| (732) 246-4446 | |
| Not Available |
| Full Name | Amy Forsell Llc |
|---|---|
| Speciality | Social Worker |
| Location | 161 S Main St, Milltown, New Jersey |
| Authorized Official Name and Position | Amy L Forsell (OWNER) |
| Authorized Official Contact | 7322464446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Forsell Llc 161 S Main St Milltown NJ 08850-1800 Ph: (732) 246-4446 | Amy Forsell Llc 161 S Main St Milltown NJ 08850-1800 Ph: (732) 246-4446 |
| NPI Number | 1932305208 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7214037035 |
|---|---|
| Medicare Enrollment ID | O20070710000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932305208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05291700 (New Jersey) | Primary |
| Provider Name | Amy L Forsell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346468741 PECOS PAC ID: 2567471675 Enrollment ID: I20060419000010 |
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