| Dbt And Trauma Recovery Llc | |
|
3176 State Route 27 Ste 2b Kendall Park NJ 08824-1514 | |
| (732) 743-8277 | |
| (732) 719-5650 |
| Full Name | Dbt And Trauma Recovery Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3176 State Route 27 Ste 2b, Kendall Park, New Jersey |
| Authorized Official Name and Position | Masha Belova (OWNER) |
| Authorized Official Contact | 7327438277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dbt And Trauma Recovery Llc 3176 State Route 27 Ste 2b Kendall Park NJ 08824-1514 Ph: (732) 743-8277 | Dbt And Trauma Recovery Llc 3176 State Route 27 Ste 2b Kendall Park NJ 08824-1514 Ph: (732) 743-8277 |
| NPI Number | 1164935730 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 11/06/2017 |
| Medicare PECOS PAC ID | 6709147903 |
|---|---|
| Medicare Enrollment ID | O20180305001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164935730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05458600 (New Jersey) | Primary |
| Provider Name | Masha Belova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710361670 PECOS PAC ID: 7416259825 Enrollment ID: I20151231000604 |
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