| Ocean Winds Counseling Service, Llc | |
|
141 S Black Horse Pike Suite 101 Blackwood NJ 08012-2975 | |
| (856) 232-9222 | |
| (888) 670-9877 |
| Full Name | Ocean Winds Counseling Service, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 141 S Black Horse Pike, Blackwood, New Jersey |
| Authorized Official Name and Position | Michael Louis Maiorano (MANAGING MEMBER/SOCIAL WORKER) |
| Authorized Official Contact | 8562329222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Winds Counseling Service, Llc 141 S Black Horse Pike Suite 101 Blackwood NJ 08012-2975 Ph: (856) 232-9222 | Ocean Winds Counseling Service, Llc 141 S Black Horse Pike Suite 101 Blackwood NJ 08012-2975 Ph: (856) 232-9222 |
| NPI Number | 1669914040 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 11/16/2016 |
| Medicare PECOS PAC ID | 7214216902 |
|---|---|
| Medicare Enrollment ID | O20161121001951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669914040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SCO1335600 (New Jersey) | Primary |
| Provider Name | Michael L Maiorano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487779161 PECOS PAC ID: 1355563313 Enrollment ID: I20161121002144 |
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