Jared Tactuk, LCSW | |
70 E 16th St Fl 1, Paterson, NJ 07524-1513 | |
(973) 692-5127 | |
Not Available |
Full Name | Jared Tactuk |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 70 E 16th St Fl 1, Paterson, 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 |
---|---|---|---|
1164032652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05882900 (New Jersey) | Primary |
Entity Name | New Jersey Behavioral Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538744297 PECOS PAC ID: 4284001025 Enrollment ID: O20221108000033 |
Entity Name | Quartet Medical Group Of New Jersey Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346947967 PECOS PAC ID: 2163861469 Enrollment ID: O20240419000946 |
Mailing Address | Practice Location Address |
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Jared Tactuk, LCSW 70 E 16th St Fl 1, Paterson, NJ 07524-1513 Ph: (973) 692-5127 | Jared Tactuk, LCSW 70 E 16th St Fl 1, Paterson, NJ 07524-1513 Ph: (973) 692-5127 |
Mrs. Doris Maria De Jesus Levy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 862 E 23rd St Apt 2, Paterson, NJ 07513 Phone: 201-486-6303 | |
Hannah Maddox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Getty Ave, Paterson, NJ 07503 Phone: 973-247-1666 | |
Debbie Dian Sappleton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Oliver St, Paterson, NJ 07501 Phone: 732-688-4582 | |
Miss Kristen Marie Couce, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-4762 Fax: 973-754-4777 | |
Mrs. Ashley-lynn Amoruso, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2174 | |
Susanne Palombo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 645 Main St, Paterson, NJ 07503 Phone: 973-754-2820 |