| Mackie & Pammie, Llc | |
|
316 Park Ave Hightstown NJ 08520-4126 | |
| (609) 649-2425 | |
| Not Available |
| Full Name | Mackie & Pammie, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 316 Park Ave, Hightstown, New Jersey |
| Authorized Official Name and Position | Ailene Espiritu (THERAPIST) |
| Authorized Official Contact | 2013570129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackie & Pammie, Llc 316 Park Ave Hightstown NJ 08520-4126 Ph: () - | Mackie & Pammie, Llc 316 Park Ave Hightstown NJ 08520-4126 Ph: (609) 649-2425 |
| NPI Number | 1245824432 |
|---|---|
| Provider Enumeration Date | 02/27/2021 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Medicare PECOS PAC ID | 7517374101 |
|---|---|
| Medicare Enrollment ID | O20210326001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245824432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Valerie Laverne Yorker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427570100 PECOS PAC ID: 8426465014 Enrollment ID: I20210326001212 |
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