Jennifer Fabbo, LCSW | |
801 Lacey Rd, Forked River, NJ 08731-1301 | |
(609) 971-8989 | |
Not Available |
Full Name | Jennifer Fabbo |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 801 Lacey Rd, Forked River, 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 |
---|---|---|---|
1942956206 | NPI | - | NPPES |
1740812106 | Other | NJ | GROUP NPI |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Haven Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740812106 PECOS PAC ID: 9234566241 Enrollment ID: O20200303000934 |
Mailing Address | Practice Location Address |
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Jennifer Fabbo, LCSW 801 Lacey Rd, Forked River, NJ 08731-1301 Ph: (609) 971-8989 | Jennifer Fabbo, LCSW 801 Lacey Rd, Forked River, NJ 08731-1301 Ph: (609) 971-8989 |
Mrs. Catherine Ann Stark, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 Lacey Road, Suite 1b, Forked River, NJ 08731 Phone: 609-242-4090 | |
Lori Leslie, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1737 Longwood Dr, Forked River, NJ 08731 Phone: 609-709-2885 | |
Betty A Phillips, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 424 S Main St, Suite F, Forked River, NJ 08731 Phone: 609-693-4343 Fax: 609-693-4345 | |
Mrs. Susan Truland, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 620 Lacey Rd, Suite 5, Forked River, NJ 08731 Phone: 609-693-5777 Fax: 609-693-5887 | |
Marie Parise, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1044 Lacey Rd Ste 1a, Forked River, NJ 08731 Phone: 732-592-3794 Fax: 732-228-8418 | |
Eliezer Hilman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 620 Lacey Rd Ste 5, Forked River, NJ 08731 Phone: 732-503-7260 | |
Ms. Miranda Dekker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 Taurus Ct, Forked River, NJ 08731 Phone: 732-685-4616 |