Jennifer Gustavsen, | |
20 E Evergreen Ave, Somerdale, NJ 08083-1402 | |
(856) 309-5420 | |
Not Available |
Full Name | Jennifer Gustavsen |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 20 E Evergreen Ave, Somerdale, 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 |
---|---|---|---|
1427309012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05509200 (New Jersey) | Primary |
Entity Name | Henry J Austin Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275644809 PECOS PAC ID: 9739179409 Enrollment ID: O20110602000626 |
Mailing Address | Practice Location Address |
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Jennifer Gustavsen, 20 E Evergreen Ave, Somerdale, NJ 08083-1402 Ph: () - | Jennifer Gustavsen, 20 E Evergreen Ave, Somerdale, NJ 08083-1402 Ph: (856) 309-5420 |
Courtney Jean Madden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 234 Orchard Ave, Somerdale, NJ 08083 Phone: 609-605-8066 | |
Claudia M Peterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Glenwood Ave, Somerdale, NJ 08083 Phone: 908-764-0352 | |
Prof. Geraldine Atkins, M.S.W., A.B.D Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 810 Liberty Dr, Somerdale, NJ 08083 Phone: 856-325-0944 |