MEDICARE: PACKANACK COUNSELING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC00450800	NJ

General Provider Information

NPI Number	:	1427355973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACKANACK COUNSELING CENTER

Provider Business Mailing Address
First Line	:	134 CHESTNUT DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5602
Country	:	US
Telephone Number	:	973-696-4016
Fax Number	:	973-696-4016

Provider Business Practice Location Address
First Line	:	134 CHESTNUT DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5602
Country	:	US
Telephone Number	:	973-696-4016
Fax Number	:	973-696-4016

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	MS. MIRIAM JUDITH TOONKEL
Credential	:	LCSW
Telephone Number	:	973-696-4016

Provider Enumeration Date	:	02/18/2011
Last Update Date	:	02/18/2011

Similar Medicare Providers

1518173103 — MRS. MIRIAM JUDITH TOONKEL LCSW
Practice Location Address:

134 CHESTNUT DR
WAYNE, NJ
07470-5602

Practice Phone: 973-696-4016
Practice Fax:

1144644337 — ELDERCARE COUNSELING, LLC
Practice Location Address:

134 CHESTNUT DR
WAYNE, NJ
07470-5602

Practice Phone: 973-580-6708
Practice Fax:

1114971223 — DR. BRAD M JOHNSTON M.D.
Practice Location Address:

3707 NEW VISION DR
FORT WAYNE, IN
46895-5602

Practice Phone: 260-471-9466
Practice Fax: 260-484-5919

1023062130 — DR. GREGG R MATTISON M.D.
Practice Location Address:

3707 NEW VISION DRIVE
FORT WAYNE, IN
46895-5602

Practice Phone: 260-471-9466
Practice Fax: 260-484-5919

1932153046 — DR. KEVIN F O'CONNOR V M.D.
Practice Location Address:

3707 NEW VISION DR
FORT WAYNE, IN
46895-5602

Practice Phone: 260-471-9466
Practice Fax: 260-484-5919

1992711576 — DR. GEORGE H KINNEBREW M.D.
Practice Location Address:

3707 NEW VISION DR
FORT WAYNE, IN
46895-5602

Practice Phone: 260-484-0850
Practice Fax: 260-484-5919

Directions to “PACKANACK COUNSELING CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.