| Renata Hadis, Lcsw, Llc | |
|
600 Upper Mountain Ave Montclair NJ 07043-1623 | |
| (973) 746-7029 | |
| Not Available |
| Full Name | Renata Hadis, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 600 Upper Mountain Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Renata Hadis (OWNER) |
| Authorized Official Contact | 9737467029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renata Hadis, Lcsw, Llc 600 Upper Mountain Ave Montclair NJ 07043-1623 Ph: (973) 746-7029 | Renata Hadis, Lcsw, Llc 600 Upper Mountain Ave Montclair NJ 07043-1623 Ph: (973) 746-7029 |
| NPI Number | 1073976841 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 03/30/2016 |
| Medicare PECOS PAC ID | 6901104074 |
|---|---|
| Medicare Enrollment ID | O20160406001857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073976841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00667700 (New Jersey) | Primary |
| Provider Name | Renata Hadis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750457883 PECOS PAC ID: 8628018579 Enrollment ID: I20050510000607 |
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