Colleen Jeffus, LCSW | |
456 Waverly Ave, Patchogue, NY 11772-1586 | |
(631) 447-6460 | |
Not Available |
Full Name | Colleen Jeffus |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 456 Waverly Ave, Patchogue, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386045524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 086436 (New York) | Primary |
104100000X | Social Worker | 092650-1 (New York) | Secondary |
Entity Name | Federation Of Organizations For The Ny State Mentally Disabled, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346433307 PECOS PAC ID: 6800823782 Enrollment ID: O20050721001040 |
Mailing Address | Practice Location Address |
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Colleen Jeffus, LCSW 456 Waverly Ave, Patchogue, NY 11772-1586 Ph: (631) 447-6460 | Colleen Jeffus, LCSW 456 Waverly Ave, Patchogue, NY 11772-1586 Ph: (631) 447-6460 |
Linda S Kline, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Oak St, Suite 14, Patchogue, NY 11772 Phone: 631-567-3940 Fax: 631-447-9717 | |
Kelly L Dean, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 456 Waverly Ave, Patchogue, NY 11772 Phone: 631-447-6460 Fax: 631-289-7098 | |
Mr. James Walter Banks Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 North Ocean Ave, Patchogue, NY 11772 Phone: 631-654-8101 | |
Mrs. Arlene F Reitzel Williams, CLINCAL SOCIAL WORKE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38 Putnam Ave, Patchogue, NY 11772 Phone: 631-758-7209 Fax: 631-758-7209 | |
Ms. Alexandra Ann Lennon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 S. Ocean Avenue., Patchogue-medford School District, Patchogue, NY 11772 Phone: 631-687-8706 | |
Mr. Kenneth C Gaughran, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 475 E Main St Ste 100, Patchogue, NY 11772 Phone: 631-286-8282 | |
Ms. Katherine Horvath, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18 Woodward Ave, Patchogue, NY 11772 Phone: 631-758-7990 Fax: 631-289-5574 |