Gwyn Ashmore, | |
651 High St, Burlington, NJ 08016-2737 | |
(609) 481-3073 | |
(609) 747-8864 |
Full Name | Gwyn Ashmore |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 651 High St, Burlington, 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 |
---|---|---|---|
1700244191 | NPI | - | NPPES |
0495719 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05435100 (New Jersey) | Primary |
Entity Name | Southern Jersey Family Medical Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568473973 PECOS PAC ID: 0547170763 Enrollment ID: O20040917000774 |
Entity Name | Catholic Charities Diocese Of Trenton |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306888656 PECOS PAC ID: 0345214466 Enrollment ID: O20050121000069 |
Mailing Address | Practice Location Address |
---|---|
Gwyn Ashmore, 651 High St, Burlington, NJ 08016-2737 Ph: (609) 481-3073 | Gwyn Ashmore, 651 High St, Burlington, NJ 08016-2737 Ph: (609) 481-3073 |
Mrs. Stephanie Ann Crane, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Woodstone Ln, Burlington, NJ 08016 Phone: 609-326-3950 | |
Ms. Ebone Reliford, LCSW, LCADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 Hulme St, Burlington, NJ 08016 Phone: 973-280-5355 | |
Susan Geisz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Riverbank, Burlington, NJ 08016 Phone: 609-386-7331 Fax: 609-239-1487 | |
Diane L D'agostino, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 651 High St, Burlington, NJ 08016 Phone: 609-386-0775 Fax: 609-386-4372 | |
Ms. Mary Anne Birmingham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Riverbank, Burlington, NJ 08016 Phone: 609-386-7331 Fax: 609-239-1487 | |
Sean Mcnally, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 850 Moorland Ave, Burlington, NJ 08016 Phone: 856-278-1788 | |
Ella Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Riverbank, Burlington, NJ 08016 Phone: 609-386-7331 Fax: 609-239-1487 |