| Northnode Group Counseling | |
|
1609 S State St Dover DE 19901-5148 | |
| (302) 257-3135 | |
| (302) 526-2410 |
| Full Name | Northnode Group Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 1609 S State St, Dover, Delaware |
| Authorized Official Name and Position | Antonya Jordan (MANAGING PARTNER) |
| Authorized Official Contact | 7035656278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northnode Group Counseling 1609 S State St Dover DE 19901-5148 Ph: (302) 257-3135 | Northnode Group Counseling 1609 S State St Dover DE 19901-5148 Ph: (302) 257-3135 |
| NPI Number | 1003273954 |
|---|---|
| Provider Enumeration Date | 01/24/2016 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Medicare PECOS PAC ID | 1254753114 |
|---|---|
| Medicare Enrollment ID | O20200623000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003273954 | NPI | - | NPPES |
| 1003273954 | Medicaid | DE |
| Provider Name | Candice Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457664104 PECOS PAC ID: 0143407650 Enrollment ID: I20110610000043 |
| Provider Name | Sarah Kathie Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598132284 PECOS PAC ID: 5294043477 Enrollment ID: I20151008000655 |
| Provider Name | Keegan Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609183995 PECOS PAC ID: 0244519775 Enrollment ID: I20200623000164 |
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