| Lauren Simicich Lcsw | |
|
112 Route 526 Allentown NJ 08501-2015 | |
| (732) 512-8766 | |
| Not Available |
| Full Name | Lauren Simicich Lcsw |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 Route 526, Allentown, New Jersey |
| Authorized Official Name and Position | Lauren Simicich (OWNER) |
| Authorized Official Contact | 6098078395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Simicich Lcsw 112 Route 526 Allentown NJ 08501-2015 Ph: (732) 512-8766 | Lauren Simicich Lcsw 112 Route 526 Allentown NJ 08501-2015 Ph: (732) 512-8766 |
| NPI Number | 1770153355 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 10/14/2021 |
| Certification Date | 07/29/2021 |
| Medicare PECOS PAC ID | 7416345020 |
|---|---|
| Medicare Enrollment ID | O20211102000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770153355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lauren Emerson Simicich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326590571 PECOS PAC ID: 8325436934 Enrollment ID: I20211102000357 |
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