| Supportive Care Services Limited Liability Company | |
|
9 Daniel Ln Lebanon NJ 08833-4351 | |
| (908) 399-4622 | |
| (908) 236-0099 |
| Full Name | Supportive Care Services Limited Liability Company |
|---|---|
| Speciality | Social Worker |
| Location | 9 Daniel Ln, Lebanon, New Jersey |
| Authorized Official Name and Position | Sarah Masucci (PRINCIPAL) |
| Authorized Official Contact | 9083994622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Services Limited Liability Company 9 Daniel Ln Lebanon NJ 08833-4351 Ph: (908) 399-4622 | Supportive Care Services Limited Liability Company 9 Daniel Ln Lebanon NJ 08833-4351 Ph: (908) 399-4622 |
| NPI Number | 1376987735 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Medicare PECOS PAC ID | 8426306580 |
|---|---|
| Medicare Enrollment ID | O20180806001990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376987735 | NPI | - | NPPES |
| 251B00000X | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Sarah L Masucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588068001 PECOS PAC ID: 5698996270 Enrollment ID: I20141023001935 |
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