| Hazel Jamieson Llc | |
|
86 Woolsey Ct Pennington NJ 08534-1428 | |
| (609) 690-3407 | |
| (844) 222-5671 |
| Full Name | Hazel Jamieson Llc |
|---|---|
| Speciality | Social Worker |
| Location | 86 Woolsey Ct, Pennington, New Jersey |
| Authorized Official Name and Position | Hazel Wendy Jamieson (OWNER) |
| Authorized Official Contact | 6096903407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazel Jamieson Llc Po Box 392 Pennington NJ 08534-0392 Ph: (609) 737-1115 | Hazel Jamieson Llc 86 Woolsey Ct Pennington NJ 08534-1428 Ph: (609) 690-3407 |
| NPI Number | 1629787403 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 11/21/2022 |
| Certification Date | 11/20/2022 |
| Medicare PECOS PAC ID | 7911342217 |
|---|---|
| Medicare Enrollment ID | O20240227000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629787403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Hazel Wendy Jamieson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437498987 PECOS PAC ID: 8820433121 Enrollment ID: I20240227000227 |
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