| Lori Phelan, Lcsw Llc | |
|
287 Boulevard Pompton Plains NJ 07444-1726 | |
| (201) 320-6334 | |
| Not Available |
| Full Name | Lori Phelan, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 287 Boulevard, Pompton Plains, New Jersey |
| Authorized Official Name and Position | Lori Phelan (OWNER) |
| Authorized Official Contact | 2013206334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Phelan, Lcsw Llc 10 Shady Ter Wayne NJ 07470-4320 Ph: (201) 320-6334 | Lori Phelan, Lcsw Llc 287 Boulevard Pompton Plains NJ 07444-1726 Ph: (201) 320-6334 |
| NPI Number | 1710618681 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 7012369903 |
|---|---|
| Medicare Enrollment ID | O20240116003565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710618681 | NPI | - | NPPES |
| 1588078323 | Other | NJ | COMMERCIAL |
| Provider Name | Lori Phelan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588078323 PECOS PAC ID: 3173974672 Enrollment ID: I20240109003588 |
| Provider Name | Kelly Moorhouse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396510665 PECOS PAC ID: 3870930084 Enrollment ID: I20240325000004 |
| Provider Name | Cynthia Wills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629343561 PECOS PAC ID: 4486182508 Enrollment ID: I20250116001887 |
| Provider Name | Georgiana Hempstead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811779473 PECOS PAC ID: 3577084920 Enrollment ID: I20250303000704 |
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