Mr Philip Lane, LCSW | |
114 Straube Center Blvd Ste K6, Pennington, NJ 08534-1444 | |
(908) 698-9472 | |
Not Available |
Full Name | Mr Philip Lane |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 114 Straube Center Blvd Ste K6, Pennington, 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 |
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1275127714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | CW024304 (Pennsylvania) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC06078500 (New Jersey) | Primary |
Entity Name | Lakeside Counseling Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578010674 PECOS PAC ID: 0840568754 Enrollment ID: O20170619001045 |
Mailing Address | Practice Location Address |
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Mr Philip Lane, LCSW 558 W Scotch Rd, Pennington, NJ 08534-4109 Ph: () - | Mr Philip Lane, LCSW 114 Straube Center Blvd Ste K6, Pennington, NJ 08534-1444 Ph: (908) 698-9472 |
Ms. Patricia Marie Hart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 W. Franklin Avenue, Suite F122, Pennington, NJ 08534 Phone: 609-915-9933 | |
Victoria E Pena-cardinali, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2 Capital Way, Suite 456, Pennington, NJ 08534 Phone: 609-537-7300 Fax: 609-537-7301 | |
Regina Wall, MSW LCSW BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Straube Center Blvd, Suite 203, Pennington, NJ 08534 Phone: 609-298-9144 Fax: 609-298-9288 | |
Mrs. Sherri C Goldstein, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 800 Denow Rd, Pennington, NJ 08534 Phone: 609-306-6709 | |
R Ellen Runyon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Tree Farm Rd Ste A220, Pennington, NJ 08534 Phone: 609-613-0110 | |
Laura Sue Lurie, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Straube Center Blvd, W. Franklin Ave. Stef, R-4, Pennington, NJ 08534 Phone: 609-577-1346 | |
Pfeni Flicker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Straube Center Blvd, Pennington, NJ 08534 Phone: 609-208-3053 |