| Expressions Behavioral Health Services | |
|
134 Evergreen Pl Suite 709 East Orange NJ 07018-2011 | |
| (862) 930-3507 | |
| (862) 930-3482 |
| Full Name | Expressions Behavioral Health Services |
|---|---|
| Speciality | Social Worker |
| Location | 134 Evergreen Pl, East Orange, New Jersey |
| Authorized Official Name and Position | Donna E Smith (CEO/FOUNDER) |
| Authorized Official Contact | 8629303507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Expressions Behavioral Health Services 134 Evergreen Pl Suite 709 East Orange NJ 07018-2011 Ph: (862) 930-3507 | Expressions Behavioral Health Services 134 Evergreen Pl Suite 709 East Orange NJ 07018-2011 Ph: (862) 930-3507 |
| NPI Number | 1144695701 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 12/29/2015 |
| Medicare PECOS PAC ID | 2860793445 |
|---|---|
| Medicare Enrollment ID | O20151228000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144695701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00124200 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05478100 (New Jersey) | Primary |
| Provider Name | Donna E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114110699 PECOS PAC ID: 5395063010 Enrollment ID: I20150409000622 |
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