| Inner Light Counseling | |
|
285 E Main St Somerville NJ 08876-3005 | |
| (908) 707-0212 | |
| Not Available |
| Full Name | Inner Light Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 285 E Main St, Somerville, New Jersey |
| Authorized Official Name and Position | Stacey Nicholas (OWNER) |
| Authorized Official Contact | 9087070212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Light Counseling 285 E Main St Somerville NJ 08876-3005 Ph: (908) 707-0212 | Inner Light Counseling 285 E Main St Somerville NJ 08876-3005 Ph: (908) 707-0212 |
| NPI Number | 1376843615 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Medicare PECOS PAC ID | 9931503406 |
|---|---|
| Medicare Enrollment ID | O20210805000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376843615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
| 106H00000X | Marriage & Family Therapist | () | Secondary |
| Provider Name | Christabel E Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932678026 PECOS PAC ID: 0648603050 Enrollment ID: I20191125001948 |
| Provider Name | Stacey a Nicholas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750525739 PECOS PAC ID: 5294166260 Enrollment ID: I20200506001883 |
| Provider Name | Nancy M Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295024511 PECOS PAC ID: 7719132398 Enrollment ID: I20201103000853 |
| Provider Name | Carolyn Smiley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952940033 PECOS PAC ID: 9537570569 Enrollment ID: I20201124001589 |
| Provider Name | Timothy M Lowe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750981197 PECOS PAC ID: 0547604035 Enrollment ID: I20240223001634 |
| Provider Name | Tammy Ivers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922618230 PECOS PAC ID: 9436596285 Enrollment ID: I20240328001571 |
| Provider Name | Samantha Santo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336643493 PECOS PAC ID: 7214375534 Enrollment ID: I20240405001653 |
| Provider Name | Eileen Walton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871728386 PECOS PAC ID: 5799213039 Enrollment ID: I20250114001782 |
| Provider Name | Anna Wilverding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609434380 PECOS PAC ID: 5698296366 Enrollment ID: I20250311000807 |
| Provider Name | Linda J Guzik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952944647 PECOS PAC ID: 5395232409 Enrollment ID: I20251014000467 |
| Provider Name | Marina Burachek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487254777 PECOS PAC ID: 9638646862 Enrollment ID: I20260424003041 |
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