Kenneth Ira Mandel, | |
12 Monmouth Rd, Elizabeth, NJ 07208 | |
(908) 527-6361 | |
Not Available |
Full Name | Kenneth Ira Mandel |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 12 Monmouth Rd, Elizabeth, 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 |
---|---|---|---|
1285310250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC01163800 (New Jersey) | Primary |
Entity Name | Senior Care Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563 |
Mailing Address | Practice Location Address |
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Kenneth Ira Mandel, 12 Monmouth Rd, Elizabeth, NJ 07208 Ph: (908) 527-6361 | Kenneth Ira Mandel, 12 Monmouth Rd, Elizabeth, NJ 07208 Ph: (908) 527-6361 |
Rachel Berger, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 655 E Jersey St, Elizabeth, NJ 07206 Phone: 908-994-7224 | |
Monica Lee Salermo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 955 Elizabeth Ave, Elizabeth, NJ 07201 Phone: 908-425-2114 | |
Camren A Fitzsimmons, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 655 Westfield Ave, Elizabeth, NJ 07208 Phone: 908-352-8375 | |
Mrs. Fay Helen Ross, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 655 Westfield Ave, Elizabeth, NJ 07208 Phone: 908-352-8375 | |
Zaneta L. Person, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 655 E Jersey St, Elizabeth, NJ 07206 Phone: 908-994-7032 Fax: 908-994-7247 | |
Trisha Badishian, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 655 E Jersey St, Dept. Of Behavioral Health & Psychiatry, Elizabeth, NJ 07206 Phone: 908-994-5000 Fax: 908-994-5000 | |
Elizabeth Pineros, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1126 Dickinson St, Elizabeth, NJ 07201 Phone: 980-351-7727 Fax: 908-353-5185 |