Vuex-change Llc | |
9 Se 2nd St Milford DE 19963-1901 | |
(302) 538-1861 | |
Not Available |
Full Name | Vuex-change Llc |
---|---|
Speciality | Social Worker |
Location | 9 Se 2nd St, Milford, Delaware |
Authorized Official Name and Position | Andrea R Waters (LCSW) |
Authorized Official Contact | 3023968231 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vuex-change Llc 560 S Dupont Blvd Milford DE 19963-1758 Ph: (302) 538-1861 | Vuex-change Llc 9 Se 2nd St Milford DE 19963-1901 Ph: (302) 538-1861 |
NPI Number | 1760296529 |
---|---|
Provider Enumeration Date | 02/03/2025 |
Last Update Date | 02/03/2025 |
Certification Date | 02/03/2025 |
Medicare PECOS PAC ID | 6901336916 |
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Medicare Enrollment ID | O20250206000003 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760296529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Andrea R Waters |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083850960 PECOS PAC ID: 2567632888 Enrollment ID: I20110824000402 |
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