Asim Husain, LCSW | |
9 Polk St, Sparta, NJ 07871-2713 | |
(203) 293-7603 | |
Not Available |
Full Name | Asim Husain |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 9 Polk St, Sparta, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881234532 | NPI | - | NPPES |
1008170 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 011638 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC06335500 (New Jersey) | Primary |
Entity Name | Stony Creek Wellness Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598209116 PECOS PAC ID: 3072896380 Enrollment ID: O20170213000666 |
Mailing Address | Practice Location Address |
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Asim Husain, LCSW 9 Polk St, Sparta, NJ 07871-2713 Ph: (203) 293-7603 | Asim Husain, LCSW 9 Polk St, Sparta, NJ 07871-2713 Ph: (203) 293-7603 |
Mrs. Leslie Andrea Meskin, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 Sparta Ave, Suite 201, Sparta, NJ 07871 Phone: 973-726-6700 | |
Ms. Diane Rose Quattrone-carroll, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 93 Cheyenne Trl, Sparta, NJ 07871 Phone: 973-729-2442 Fax: 973-729-1171 | |
Sharon E Jordan Feldman, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Woodport Rd, Suite 2c, Sparta, NJ 07871 Phone: 973-786-5913 Fax: 973-786-5913 | |
Catherine Ann Destefano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 E Shore Trl, Sparta, NJ 07871 Phone: 973-652-5031 | |
Mecca Constance Cerny, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 513 Lafayette Rd, Sparta, NJ 07871 Phone: 973-437-5400 | |
Kyra Mae Baumstark, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 191 Woodport Rd Ste 206, Sparta, NJ 07871 Phone: 973-691-3030 | |
Michele Natoli, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 283 Sparta Ave, Sparta, NJ 07871 Phone: 973-534-6412 Fax: 888-726-8448 |