Jennifer Elizabeth Rodriguez, | |
95 Crystal St, East Stroudsburg, PA 18301-2809 | |
(321) 222-7532 | |
Not Available |
Full Name | Jennifer Elizabeth Rodriguez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 95 Crystal St, East Stroudsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902574189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW22026 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Elizabeth Rodriguez, 222 Eastshore Dr, East Stroudsburg, PA 18301-9359 Ph: (570) 202-7251 | Jennifer Elizabeth Rodriguez, 95 Crystal St, East Stroudsburg, PA 18301-2809 Ph: (321) 222-7532 |
Leah Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 327 Park Ln, East Stroudsburg, PA 18301 Phone: 570-460-3299 | |
Prunella Harris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 529 Seven Bridge Rd, Suite 205, East Stroudsburg, PA 18301 Phone: 570-807-0267 | |
Ms. Norma June Swint, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Rr 5 Box 5289, East Stroudsburg, PA 18301 Phone: 570-223-0826 | |
Mrs. Pamler Ruth Pope-plummer, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 Hosta Lane, East Stroudsburg, PA 18301 Phone: 347-277-1626 | |
Holly Selepouchin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 527 Hallowood Dr, East Stroudsburg, PA 18302 Phone: 973-670-6893 |