Edward Petrarca, LCSW | |
1 Bay Ave, Mountainside Hospital, Montclair, NJ 07042-4837 | |
(973) 429-6813 | |
(973) 680-7715 |
Full Name | Edward Petrarca |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 37 Years |
Location | 1 Bay Ave, Montclair, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003986787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC00016500 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hackensackumc Mountainside | Montclair, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Montclair Hospital Llc | 7810092814 | 15 |
Entity Name | Montclair Hospital Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1386893659 PECOS PAC ID: 7810092814 Enrollment ID: O20090519000038 |
Mailing Address | Practice Location Address |
---|---|
Edward Petrarca, LCSW 1 Bay Ave, Mountainside Hospital, Montclair, NJ 07042-4837 Ph: (973) 429-6000 | Edward Petrarca, LCSW 1 Bay Ave, Mountainside Hospital, Montclair, NJ 07042-4837 Ph: (973) 429-6813 |
Ms. Gina L. Sharpe, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 Claremont Ave, Montclair, NJ 07042 Phone: 973-509-1618 Fax: 973-509-1618 | |
Ms. Michelle L Harney, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Avenue, Montclair, NJ 07042 Phone: 973-429-6000 | |
Madeline Till, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Oxford St, Montclair, NJ 07042 Phone: 973-567-2470 | |
Roseann Tuchman Shaiman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Yantacaw Brook Rd, Montclair, NJ 07043 Phone: 973-464-0471 | |
Ms. Kiara D Sarner, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33 Plymouth St Ste 105, Montclair, NJ 07042 Phone: 973-783-2292 | |
Robert Brett Fechner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 209 Cooper Ave, Suite 5b, Montclair, NJ 07043 Phone: 646-246-7135 |