| Bergen Behavioral Wellness Associates, Llc | |
|
169 Ramapo Valley Rd Suite Ml 7 Oakland NJ 07436-2531 | |
| (201) 848-5578 | |
| (201) 848-5599 |
| Full Name | Bergen Behavioral Wellness Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 169 Ramapo Valley Rd, Oakland, New Jersey |
| Authorized Official Name and Position | Ryna Cohen Lubow (PRES.) |
| Authorized Official Contact | 2018485578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Behavioral Wellness Associates, Llc 169 Ramapo Valley Rd Suite Ml 7 Oakland NJ 07436-2531 Ph: (201) 848-5578 | Bergen Behavioral Wellness Associates, Llc 169 Ramapo Valley Rd Suite Ml 7 Oakland NJ 07436-2531 Ph: (201) 848-5578 |
| NPI Number | 1154620607 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 03/25/2011 |
| Medicare PECOS PAC ID | 4880864396 |
|---|---|
| Medicare Enrollment ID | O20110818000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154620607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00451800 (New Jersey) | Primary |
| 106H00000X | Marriage & Family Therapist | 37F1000075100 (New Jersey) | Secondary |
| Provider Name | Ryna C Lubow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790848737 PECOS PAC ID: 3072553577 Enrollment ID: I20050504000391 |
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