Mrs Kathleen Shelley, LCSW | |
22 Robertson Rd, West Orange, NJ 07052-3519 | |
(973) 809-6574 | |
Not Available |
Full Name | Mrs Kathleen Shelley |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 22 Robertson Rd, West Orange, 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 |
---|---|---|---|
1023659331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05864800 (New Jersey) | Primary |
Entity Name | Keith Golin Phd Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487660213 PECOS PAC ID: 6608879226 Enrollment ID: O20070227000665 |
Mailing Address | Practice Location Address |
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Mrs Kathleen Shelley, LCSW 22 Robertson Rd, West Orange, NJ 07052-3519 Ph: (973) 809-6574 | Mrs Kathleen Shelley, LCSW 22 Robertson Rd, West Orange, NJ 07052-3519 Ph: (973) 809-6574 |
Nicole M Wells-cimmino, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Hunterdon Rd, West Orange, NJ 07052 Phone: 862-216-3935 Fax: 973-243-0989 | |
Ms. Colette Brantley, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 642 Eagle Rock Ave, Suite 6, West Orange, NJ 07052 Phone: 862-704-6391 Fax: 862-704-6392 | |
Cynthia Abbott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Meade St, West Orange, NJ 07052 Phone: 973-420-7992 | |
Megan Melamed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 63 Quinby Pl, West Orange, NJ 07052 Phone: 201-788-8425 | |
Mary P Duguid, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8 Marcella Avenue, West Orange, NJ 07052 Phone: 973-736-2041 Fax: 973-669-9683 | |
Lewis J Abrams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 28 Hooper Ave # 07052, West Orange, NJ 07052 Phone: 201-725-3627 |