Jeisy Mitre, LCSW | |
561 Tilton Rd, Northfield, NJ 08225-1217 | |
(609) 267-5656 | |
Not Available |
Full Name | Jeisy Mitre |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 561 Tilton Rd, Northfield, 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 |
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1790321354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC06180500 (New Jersey) | Primary |
Entity Name | Meditelecare Of New Jersey Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639750797 PECOS PAC ID: 5496164360 Enrollment ID: O20210505000766 |
Mailing Address | Practice Location Address |
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Jeisy Mitre, LCSW 327 Upas Ave, Galloway, NJ 08205-4684 Ph: (609) 816-0523 | Jeisy Mitre, LCSW 561 Tilton Rd, Northfield, NJ 08225-1217 Ph: (609) 267-5656 |
Mr. John Joseph Mclernon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2404 Shepherd Cir, Northfield, NJ 08225 Phone: 609-646-5780 Fax: 609-645-5905 | |
Marshall C Wollman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 New Rd, Northfield, NJ 08225 Phone: 609-569-1144 | |
Mrs. Laura J Potter, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 New Rd, Northfield, NJ 08225 Phone: 609-261-2500 Fax: 609-261-2501 | |
Ms. Carmen M. Demareo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 New Rd, Northfield, NJ 08225 Phone: 609-641-2500 Fax: 609-641-2502 | |
Rita Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 New Rd, Northfield, NJ 08225 Phone: 609-569-1144 | |
Suzanne J Zipes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 New Rd, Northfield, NJ 08225 Phone: 609-569-1144 | |
Treasure O Esochaghi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 New Rd, Northfield, NJ 08225 Phone: 609-840-6034 Fax: 609-840-6213 |