Julianna Fomenko, LCSW | |
350 W Durham St, Philadelphia, PA 19119-2901 | |
(215) 584-7093 | |
(718) 779-7775 |
Full Name | Julianna Fomenko |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 350 W Durham St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285787457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW017430 (Pennsylvania) | Primary |
1041C0700X | Social Worker - Clinical | 076816-1 (New York) | Secondary |
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: O20221117000517 |
Mailing Address | Practice Location Address |
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Julianna Fomenko, LCSW 350 W Durham St, Philadelphia, PA 19119-2901 Ph: (215) 584-7093 | Julianna Fomenko, LCSW 350 W Durham St, Philadelphia, PA 19119-2901 Ph: (215) 584-7093 |
Dr. Erica D Goldblatt, DSW, LCSW, MBE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 233 S 6th St Ste C33, Philadelphia, PA 19106 Phone: 267-324-9564 | |
Ms. Robyn Allen Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 401, Philadelphia, PA 19102 Phone: 267-701-8685 | |
Ms. Clare Deering Deloskey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 344 Fitzwater St., Apartment 2r, Philadelphia, PA 19147 Phone: 215-868-9240 | |
Denis Michael Carey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6232 Market St, Philadelphia, PA 19139 Phone: 215-444-7672 Fax: 267-627-5873 | |
Ms. Heather Alters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3905 Ford Rd Ste 6, Philadelphia, PA 19131 Phone: 215-878-3400 | |
Mr. Joseph Charles Walsh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 202&208, Philadelphia, PA 19102 Phone: 855-762-0043 | |
Lucy Gleysteen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1348 Bainbridge St, Philadelphia, PA 19147 Phone: 215-563-0652 |