| Center Psychotherapy | |
|
508 Main St Avon By The Sea NJ 07717-1018 | |
| (732) 829-2141 | |
| (732) 988-4317 |
| Full Name | Center Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 508 Main St, Avon By The Sea, New Jersey |
| Authorized Official Name and Position | Margaret Mary Cunniff (OWNER) |
| Authorized Official Contact | 7328292141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Psychotherapy 508 Main St Avon By The Sea NJ 07717-1018 Ph: (732) 829-2141 | Center Psychotherapy 508 Main St Avon By The Sea NJ 07717-1018 Ph: (732) 829-2141 |
| NPI Number | 1396251393 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 12/28/2017 |
| Medicare PECOS PAC ID | 7719246347 |
|---|---|
| Medicare Enrollment ID | O20180105000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396251393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04686900 (New Jersey) | Primary |
| 251S00000X | Community/behavioral Health | 44SC04686900 (New Jersey) | Secondary |
| Provider Name | Margaret M Cunniff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023112190 PECOS PAC ID: 5395792089 Enrollment ID: I20050405000683 |
Direct Solutions Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 133 Lincoln Ave, Avon By The Sea, NJ 07717 Phone: 732-996-1192 |