Christopher Dickson Marshall, LCSW | |
1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323 | |
(267) 999-9534 | |
(833) 613-2680 |
Full Name | Christopher Dickson Marshall |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1 Gateway Ctr Ste 2600, Newark, 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 |
---|---|---|---|
1184070336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC06170900 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | CW020838 (Pennsylvania) | Primary |
Entity Name | Imagine Medical Group, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821731548 PECOS PAC ID: 5698154086 Enrollment ID: O20220615000283 |
Mailing Address | Practice Location Address |
---|---|
Christopher Dickson Marshall, LCSW 228 Park Ave S, Pmb 36149, New York, NY 10003-1402 Ph: (267) 999-9534 | Christopher Dickson Marshall, LCSW 1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323 Ph: (267) 999-9534 |
Ruth Viera, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 590 N 7th St, Newark, NJ 07107 Phone: 973-596-5101 Fax: 973-639-5049 | |
Mrs. Nicole Joie Alvarez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 183 S Orange Ave, Newark, NJ 07103 Phone: 862-201-9127 | |
Ms. Diane M Valente, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 20-22 Madison St, Apt 1, Newark, NJ 07105 Phone: 917-520-8147 | |
Heidi Haiken, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Bergen St, 818, Newark, NJ 07107 Phone: 972-972-0405 | |
Mrs. Sheyla Riaz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 58 Freeman St, Newark, NJ 07105 Phone: 973-639-6629 | |
Saudi Encarnacion, L.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 Freeman St, Newark, NJ 07105 Phone: 973-596-3975 Fax: 973-639-6583 | |
Lauren Nicole Genarelli, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 168 Frontage Rd, Newark, NJ 07114 Phone: 201-669-6846 |