| Lisa Tortorello Gilligan Msw Lcsw Llc | |
|
300 Kimball St Woodbridge NJ 07095-2513 | |
| (732) 609-0169 | |
| (732) 218-8601 |
| Full Name | Lisa Tortorello Gilligan Msw Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 300 Kimball St, Woodbridge, New Jersey |
| Authorized Official Name and Position | Lisa Marie Tortorello-gilligan (OWNER) |
| Authorized Official Contact | 7326090169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Tortorello Gilligan Msw Lcsw Llc 300 Kimball St Ste 106 Woodbridge NJ 07095-2506 Ph: (732) 609-0169 | Lisa Tortorello Gilligan Msw Lcsw Llc 300 Kimball St Woodbridge NJ 07095-2513 Ph: (732) 609-0169 |
| NPI Number | 1194160507 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/08/2020 |
| Medicare PECOS PAC ID | 7113383530 |
|---|---|
| Medicare Enrollment ID | O20230510000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194160507 | NPI | - | NPPES |
| AETNA | Other | AETNA |
| Provider Name | Kasi Legrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447896139 PECOS PAC ID: 8729445275 Enrollment ID: I20230530000014 |
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