Mrs Kristen Misyak, LCSW | |
151 Fries Mill Rd Ste 404, Turnersville, NJ 08012-2016 | |
(856) 302-5728 | |
Not Available |
Full Name | Mrs Kristen Misyak |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 151 Fries Mill Rd Ste 404, Turnersville, 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 |
---|---|---|---|
1851917652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05926700 (New Jersey) | Primary |
Entity Name | New Life Medical Detoxification Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912466459 PECOS PAC ID: 7810222098 Enrollment ID: O20190710001548 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristen Misyak, LCSW 910 Hill Ln, Millville, NJ 08332-1541 Ph: (856) 777-3354 | Mrs Kristen Misyak, LCSW 151 Fries Mill Rd Ste 404, Turnersville, NJ 08012-2016 Ph: (856) 302-5728 |
Helen Cassell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Route 168 Ste D, Turnersville, NJ 08012 Phone: 856-352-0058 | |
Gary Jeffrey Goldberg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 900 Route 168 Ste D1, Turnersville, NJ 08012 Phone: 856-228-1005 | |
Allison Maskin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 901 Route 168 Ste 103, Turnersville, NJ 08012 Phone: 856-266-4983 | |
Renee M Smallwood-thigpen, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 901 Route 168, Suite 106, Turnersville, NJ 08012 Phone: 610-644-6464 Fax: 610-981-6078 | |
Rene Youssef, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 901 Route 168 Ste 103, Turnersville, NJ 08012 Phone: 856-266-4983 | |
Gina Rothmaller, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 901 Route 168 Ste 104, Turnersville, NJ 08012 Phone: 856-266-4983 | |
Cherise Hasko, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 Fries Mill Rd Ste 404, Turnersville, NJ 08012 Phone: 856-302-5728 |