| The Psychotherapy And Guidance Services Of Nj L.l.c. | |
|
368 Essex St Fl 2 Millburn NJ 07041-1330 | |
| (908) 380-3078 | |
| Not Available |
| Full Name | The Psychotherapy And Guidance Services Of Nj L.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 368 Essex St Fl 2, Millburn, New Jersey |
| Authorized Official Name and Position | Denise Ridente (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9083803078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Psychotherapy And Guidance Services Of Nj L.l.c. 368 Essex St Fl 2 Millburn NJ 07041-1330 Ph: (908) 380-3078 | The Psychotherapy And Guidance Services Of Nj L.l.c. 368 Essex St Fl 2 Millburn NJ 07041-1330 Ph: (908) 380-3078 |
| NPI Number | 1881444982 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/23/2024 |
| Medicare PECOS PAC ID | 3072056167 |
|---|---|
| Medicare Enrollment ID | O20240618000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881444982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Denise M Ridente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083602726 PECOS PAC ID: 0042257339 Enrollment ID: I20050408000104 |
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