| Rising Up Counseling | |
|
40-14 Knott Ter Fair Lawn NJ 07410-5322 | |
| (201) 889-0888 | |
| Not Available |
| Full Name | Rising Up Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 40-14 Knott Ter, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Nataly Ebid (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2018890888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Up Counseling 40-14 Knott Ter Fair Lawn NJ 07410-5322 Ph: (201) 889-0888 | Rising Up Counseling 40-14 Knott Ter Fair Lawn NJ 07410-5322 Ph: (201) 889-0888 |
| NPI Number | 1639834765 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
| Certification Date | 11/01/2021 |
| Medicare PECOS PAC ID | 9830588375 |
|---|---|
| Medicare Enrollment ID | O20211122002809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639834765 | NPI | - | NPPES |
| 1134767106 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nataly Ebid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134767106 PECOS PAC ID: 9436584208 Enrollment ID: I20200124001552 |
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