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Core Counseling Of North Jersey, Llc

Social Worker

Behavioral Health & Social Service Providers

40 N Van Brunt St, Englewood, NJ 07631-2740

PECOS Enrollment

Based on the most recent information from CMS, provider Core Counseling Of North Jersey, Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1295371243
Provider Type
Organization
Full Name
Core Counseling Of North Jersey, Llc

Subpart
No
Enumeration Date
11/25/2019
Last Updated
7/20/2020

Contact Information

Practice Location

40 N Van Brunt St, Englewood, NJ 07631-2740

(201) 875-5699

(201) 503-2345

Mailing Location

40 N Van Brunt St, Englewood, NJ 07631-2740

(201) 875-5699

(201) 503-2345

Authorized Official

Fedder, Lisa (Managing Partner/ Psychotherapist)

(201) 875-5699

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103TC0700X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer

Core Counseling Of North Jersey, Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Pagnotta, Frances

Sandilands, Lisa Blair

Sohn, In Young

Deren, Nancy Eileen

Goldberg, Lorna Scales

Goodman, Gizela Gali

Weisman, Michele Greene

Horn, Lauren

Lerner, Alan

White, Barbara