| Maple Therapy Center Llc | |
|
65 N Maple Ave # 209 Ridgewood NJ 07450-3233 | |
| (201) 566-1535 | |
| Not Available |
| Full Name | Maple Therapy Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 65 N Maple Ave # 209, Ridgewood, New Jersey |
| Authorized Official Name and Position | Susan O Peterson (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2015661535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Therapy Center Llc 65 N Maple Ave # 209 Ridgewood NJ 07450-3233 Ph: (201) 566-1535 | Maple Therapy Center Llc 65 N Maple Ave # 209 Ridgewood NJ 07450-3233 Ph: (201) 566-1535 |
| NPI Number | 1225365372 |
|---|---|
| Provider Enumeration Date | 11/11/2009 |
| Last Update Date | 11/11/2009 |
| Medicare PECOS PAC ID | 0941348171 |
|---|---|
| Medicare Enrollment ID | O20091110000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225365372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04898500 (New Jersey) | Primary |
| Provider Name | Susan O Peterson Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184873242 PECOS PAC ID: 5496893620 Enrollment ID: I20091110000015 |
Emerge- The Counseling And Coaching Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 E Ridgewood Ave Ste 2, Ridgewood, NJ 07450 Phone: 517-750-5755 | |
Reilly Therapy And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 Beechwood Rd, Ridgewood, NJ 07450 Phone: 973-963-7733 | |
Psychcare Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 N Maple Ave, Suite 104, Ridgewood, NJ 07450 Phone: 201-444-8999 Fax: 201-934-3341 | |
Dr. James R. Cowan, Jr. M.d. P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 N Maple Ave, Ridgewood, NJ 07450 Phone: 201-670-4124 Fax: 201-670-4120 | |
James F Battaglia Psychology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Ridgewood Ave, Suite 3, Ridgewood, NJ 07450 Phone: 201-670-0222 | |
Pathways For Enhanced Living, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Dayton St, Ridgewood, NJ 07450 Phone: 201-445-3307 | |
Trinity Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 N Maple Ave Ste 101b, Ridgewood, NJ 07450 Phone: 551-250-1017 |