| Out Of The Box Lcsw, Pllc | |
|
1 Flagship Street Apt 405 Bayonne NJ 07002 | |
| (646) 961-9225 | |
| Not Available |
| Full Name | Out Of The Box Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Flagship Street Apt 405, Bayonne, New Jersey |
| Authorized Official Name and Position | Tabitha Ford (OWNER/ CEO) |
| Authorized Official Contact | 6469619225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Out Of The Box Lcsw, Pllc 1 Flagship St Apt 405 Bayonne NJ 07002-7229 Ph: (646) 961-9225 | Out Of The Box Lcsw, Pllc 1 Flagship Street Apt 405 Bayonne NJ 07002 Ph: (646) 961-9225 |
| NPI Number | 1467180695 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Medicare PECOS PAC ID | 8921474784 |
|---|---|
| Medicare Enrollment ID | O20221019001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467180695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tabitha Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982271342 PECOS PAC ID: 6709264377 Enrollment ID: I20220610000198 |
Prov 205 Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 Broadway, Suite A, Bayonne, NJ 07002 Phone: 201-455-2052 Fax: 201-354-9376 | |
Optimum Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1137 Avenue C, Bayonne, NJ 07002 Phone: 201-339-3371 Fax: 201-339-3376 | |
Dreamchasers Community Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W 50th St, Bayonne, NJ 07002 Phone: 281-895-3250 | |
Brian C. Della Pesca Ma Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 Broadway, Suite 307, Bayonne, NJ 07002 Phone: 973-980-2955 Fax: 201-254-9928 | |
Bayonne Cmhc-partial Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 597 Broadway, Bayonne, NJ 07002 Phone: 201-339-9200 | |
Dr Lashonda Green Counseling Consulting & Coaching Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Broadway Apt 3b, Bayonne, NJ 07002 Phone: 732-404-1555 Fax: 732-234-0353 | |
North Star Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 354 Avenue C, Bayonne, NJ 07002 Phone: 201-535-5959 Fax: 201-535-5961 |