| Social Work On The Go | |
|
3715 E State Street Ext Hamilton NJ 08619-2447 | |
| (973) 280-5988 | |
| Not Available |
| Full Name | Social Work On The Go |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3715 E State Street Ext, Hamilton, New Jersey |
| Authorized Official Name and Position | Raye-ann Quarcoopome (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 9732805988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Work On The Go Po Box 2883 Hamilton NJ 08690-0383 Ph: (973) 280-5988 | Social Work On The Go 3715 E State Street Ext Hamilton NJ 08619-2447 Ph: (973) 280-5988 |
| NPI Number | 1124382502 |
|---|---|
| Provider Enumeration Date | 06/29/2012 |
| Last Update Date | 04/22/2014 |
| Medicare PECOS PAC ID | 7911154463 |
|---|---|
| Medicare Enrollment ID | O20230510000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124382502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0400500914 (New Jersey) | Primary |
| Provider Name | Raye-ann Quarcoopome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043574510 PECOS PAC ID: 6901053453 Enrollment ID: I20120906000073 |
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