| Awaken Wellness, Llc | |
|
1390 Valley Rd Ste 1d Stirling NJ 07980-1346 | |
| (908) 809-9463 | |
| Not Available |
| Full Name | Awaken Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1390 Valley Rd Ste 1d, Stirling, New Jersey |
| Authorized Official Name and Position | Dina Morley (LCSW, PSYD) |
| Authorized Official Contact | 9088099463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awaken Wellness, Llc Po Box 313 Millington NJ 07946-0313 Ph: (908) 809-9463 | Awaken Wellness, Llc 1390 Valley Rd Ste 1d Stirling NJ 07980-1346 Ph: (908) 809-9463 |
| NPI Number | 1063900967 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 1254688484 |
|---|---|
| Medicare Enrollment ID | O20180719001649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063900967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dina T Morley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417229998 PECOS PAC ID: 3779749163 Enrollment ID: I20150619000700 |
| Provider Name | Cheryl M Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962832972 PECOS PAC ID: 8921235441 Enrollment ID: I20180309001351 |
| Provider Name | Kathleen Kontely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811447881 PECOS PAC ID: 8426300211 Enrollment ID: I20181005000188 |
| Provider Name | Tracy Lynn Koller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780849828 PECOS PAC ID: 6103259213 Enrollment ID: I20191204000035 |
| Provider Name | Lisa Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518628593 PECOS PAC ID: 4082006614 Enrollment ID: I20220111002684 |
| Provider Name | Maria Conti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770156036 PECOS PAC ID: 5294127452 Enrollment ID: I20220120000283 |
| Provider Name | Debora Valatkavage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215542584 PECOS PAC ID: 9931589538 Enrollment ID: I20220629000128 |
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