Mrs Mary Antolik, LCSW | |
618 S White Horse Pike, Audubon, NJ 08106-1315 | |
(856) 546-0021 | |
(856) 546-6167 |
Full Name | Mrs Mary Antolik |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 618 S White Horse Pike, Audubon, 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 |
---|---|---|---|
1558508101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05374400 (New Jersey) | Primary |
Entity Name | A Brighter Tomorrow Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295365765 PECOS PAC ID: 8224466776 Enrollment ID: O20200316000647 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Antolik, LCSW 618 S White Horse Pike, Audubon, NJ 08106-1315 Ph: (856) 546-0021 | Mrs Mary Antolik, LCSW 618 S White Horse Pike, Audubon, NJ 08106-1315 Ph: (856) 546-0021 |
Jessica Houghton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 739 S White Horse Pike, Suite 10, Audubon, NJ 08106 Phone: 856-617-4542 | |
Meredith Morgan Beach, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 730 S White Horse Pike, Audubon, NJ 08106 Phone: 856-617-4544 | |
Prof. Danielle Cranmer, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Ibis Dr, Audubon, NJ 08106 Phone: 609-369-9795 | |
Katie L Radie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 261 W Graisbury Ave, Audubon, NJ 08106 Phone: 856-261-6812 |