Mr Tyrone Marshall Miles Jr, LCSW | |
1147 Langham Ave, Camden, NJ 08103-2817 | |
(609) 417-0825 | |
Not Available |
Full Name | Mr Tyrone Marshall Miles Jr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1147 Langham Ave, Camden, 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 |
---|---|---|---|
1659743219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SL06110700 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC05802400 (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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Mr Tyrone Marshall Miles Jr, LCSW 1147 Langham Ave, Camden, NJ 08103-2817 Ph: (609) 417-0825 | Mr Tyrone Marshall Miles Jr, LCSW 1147 Langham Ave, Camden, NJ 08103-2817 Ph: (609) 417-0825 |
Mr. Ernest Albert Stafford Jr., MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 519 West St, Camden, NJ 08103 Phone: 856-968-2320 Fax: 856-968-2317 | |
Mrs. Deborah Eve Bokas, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Haddon Ave, Camden, NJ 08103 Phone: 856-757-3542 Fax: 856-580-6498 | |
Maya Hinton, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 427 Market St, Camden, NJ 08102 Phone: 856-541-5848 | |
Mr. Daniel James Wilson, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 Market St, Camden, NJ 08102 Phone: 856-361-2700 Fax: 856-541-4139 | |
Adrian Rene Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 519 West St, Camden, NJ 08103 Phone: 856-968-2320 | |
Lydia Arden Ross, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 584 Benson St, Camden, NJ 08103 Phone: 973-395-1442 | |
Ms. Christie F Babilonia, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1601 Haddon Ave, Camden, NJ 08103 Phone: 856-757-3704 Fax: 856-580-6496 |