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Yeni Milagros Then-Yaegel

Social Worker

Behavioral Health & Social Service Providers

93 W Palisade Ave, Englewood, NJ 07631-2611

PECOS Enrollment

Based on the most recent information from CMS, provider Yeni Milagros Then-Yaegel 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
1508938754
Provider Type
Individual
Full Name
Then-Yaegel, Yeni Milagros
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/14/2006
Last Updated
11/7/2014

Contact Information

Practice Location

93 W Palisade Ave, Englewood, NJ 07631-2611

(201) 567-0500

Mailing Location

93 W Palisade Ave, Englewood, NJ 07631-2611

(201) 567-0500

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 44SC05590400 New Jersey

Provider Identifiers

ID	Description	Issuer
ID 0419460	Description Medicaid	Issuer Unlisted New Jersey

Yeni Milagros Then-Yaegel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Olivares, Eva

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Keschner, Rafaella

Grigorian, Nyiri

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Deren, Nancy Eileen

Polak-Dean, Lisa Patrice

Sohn, In Young