Regroup Behavioral Health Services,Pc in Fanwood - Clinical
Regroup Behavioral Health Services,Pc - NPI 1164542718
Regroup Behavioral Health Services,Pc is a Clinical in Fanwood, New Jersey. Regroup Behavioral Health Services,Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Regroup Behavioral Health Services,Pc is 1164542718. The last update date is 2009-12-14.
Regroup Behavioral Health Services,Pc's current location address is Po Box 512, Fanwood, New Jersey. You can contact this provider via phone number 9087553392 and fax number 9087554768. The mailing address for Regroup Behavioral Health Services,Pc is Po Box 512, Fanwood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Regroup Behavioral Health Services,Pc |
|---|---|
| Address | Po Box 512, Fanwood, New Jersey |
| Phone Number | 9087553392 |
| Fax Number | 9087554768 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOTHER |
|---|---|
| Authorized Official Name | Edwards A Princetta |
| Credentials | LCSW |
| Telephone Number | 9087553392 |
NPI Number Detail
| NPI Number | 1164542718 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2009-12-14 |
Provider Mailing Address Detail
| Address | Po Box 512 |
|---|---|
| City | Fanwood |
| State | New Jersey (NJ) |
| Post Code | 70230512 |
| Phone Number | 9087553392 |
| Fax Number | 9087554768 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Regroup Behavioral Health Services,Pc by the Centers for Medicare & Medicaid Services?
The Regroup Behavioral Health Services,Pc has been assigned the NPI (National Provider Identifier) 1164542718 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Regroup Behavioral Health Services,Pc is located?
The Regroup Behavioral Health Services,Pc is situated at the following address: Po Box 512, Fanwood, NJ, 70230512.
What is the Regroup Behavioral Health Services,Pc's area of specialization and corresponding taxonomy classification?
The Regroup Behavioral Health Services,Pc's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Regroup Behavioral Health Services,Pc receive its 1164542718?
The Regroup Behavioral Health Services,Pc was issued its 1164542718 on 2007-03-29, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Regroup Behavioral Health Services,Pc most recently updated or revised?
The details related to Regroup Behavioral Health Services,Pc, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-14.