MAGGIE ESTELLE DOCK


Address: 1 Bank St, Suite 207, Rockaway, NJ 07866-3430
Phone: 8009275108

MAGGIE ESTELLE DOCK (NPI# 1508160722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508160722
Entity Type Individual
Full Name MAGGIE ESTELLE DOCK
Other Name MAGGIE ESTELLE SHAVER-DOCK
Credential MA, DRCC
Practice Address 1 Bank St
Suite 207
Rockaway
NJ 07866-3430
Practice Telephone 8009275108
Practice Fax Number 8009275108
Mailing Telephone 8009275108
Mailing Fax Number 8009275108
Enumeration Date 2011-01-03
Last Update Date 2011-01-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 835 NJ Behavioral Health & Social Service Providers
Y 101YS0200X Counselor
Specialization: School
644309 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 1 BANK ST
SUITE 207
City ROCKAWAY
State NJ
Zip Code 07866-3430

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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

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1043588338 Cassandra C Pestana Counselor 116 Fulton St, Clark, NJ 07066-1877 2011-12-01
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Competitor

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City ROCKAWAY
Zip Code 07866

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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