| Rachel Willyung Acsw Llc | |
|
3 Broad St Suite 100a Freehold NJ 07728-1742 | |
| (732) 303-0066 | |
| Not Available |
| Full Name | Rachel Willyung Acsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3 Broad St, Freehold, New Jersey |
| Authorized Official Name and Position | Rachel Willyung (SOLE MEMBER LLC) |
| Authorized Official Contact | 7323030066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Willyung Acsw Llc 3 Broad St Suite 100a Freehold NJ 07728-1742 Ph: (732) 303-0066 | Rachel Willyung Acsw Llc 3 Broad St Suite 100a Freehold NJ 07728-1742 Ph: (732) 303-0066 |
| NPI Number | 1023498144 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 06/03/2015 |
| Medicare PECOS PAC ID | 7214258144 |
|---|---|
| Medicare Enrollment ID | O20150604000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023498144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05178000 (New Jersey) | Primary |
| Provider Name | Rachel A Willyung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891867990 PECOS PAC ID: 2961440615 Enrollment ID: I20050422000029 |
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