Mr Fennel Edward Kpolie, LSW | |
1239 Parkway Ave Ste 102, Ewing, NJ 08628-3000 | |
(609) 394-3010 | |
(609) 394-3010 |
Full Name | Mr Fennel Edward Kpolie |
---|---|
Gender | Male |
Speciality | Social Worker |
Location | 1239 Parkway Ave Ste 102, Ewing, 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 |
---|---|---|---|
1811545627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | Q1-0012005 (Delaware) | Secondary |
104100000X | Social Worker | 44SL05587600 (New Jersey) | Primary |
Entity Name | Christiana Care Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770568107 PECOS PAC ID: 9739097569 Enrollment ID: O20031201000477 |
Mailing Address | Practice Location Address |
---|---|
Mr Fennel Edward Kpolie, LSW 4512 Kirkwood Hwy, Ste 300, Wilmington, DE 19808-5129 Ph: (302) 623-7515 | Mr Fennel Edward Kpolie, LSW 1239 Parkway Ave Ste 102, Ewing, NJ 08628-3000 Ph: (609) 394-3010 |
Mr. Stephen Patillo, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1925 Pennington Rd, Ewing, NJ 08618 Phone: 609-882-1898 Fax: 609-882-3880 | |
Kim Chan-baerman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 830 Bear Tavern Rd, Ewing, NJ 08628 Phone: 800-370-3651 | |
Mr. John Joseph Monahan, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Misty Morn Ln, Ewing, NJ 08638 Phone: 609-771-4195 | |
Deborah Adams, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 830 Bear Tavern Rd, Ewing, NJ 08628 Phone: 800-370-3651 Fax: 860-510-0020 | |
Rachel Birmingham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 830 Bear Tavern Rd, Ewing, NJ 08628 Phone: 800-370-3651 Fax: 860-510-0020 | |
Heather Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 830 Bear Tavern Rd, Ewing, NJ 08628 Phone: 800-370-3651 | |
Mrs. Lyanne Ventura, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Glenmore Ave, Ewing, NJ 08638 Phone: 609-619-9660 |