Provider Demographics
NPI:1275586166
Name:SENIOR SOLUTIONS ASSOCIATES
Entity Type:Organization
Organization Name:SENIOR SOLUTIONS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:973-727-3778
Mailing Address - Street 1:10 DICKINSON CT
Mailing Address - Street 2:
Mailing Address - City:LEDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07852-2304
Mailing Address - Country:US
Mailing Address - Phone:973-727-3778
Mailing Address - Fax:973-927-0627
Practice Address - Street 1:10 DICKINSON CT
Practice Address - Street 2:
Practice Address - City:LEDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07852-2304
Practice Address - Country:US
Practice Address - Phone:973-727-3778
Practice Address - Fax:973-927-0627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ078814Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER